Basic Information
| Provider Information | |||||||||
| NPI: | 1780665141 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAENZ | ||||||||
| FirstName: | ROLANDO | ||||||||
| MiddleName: | E. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 61950 | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705961950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3379810305 | ||||||||
| FaxNumber: | 3379882227 | ||||||||
| Practice Location | |||||||||
| Address1: | 611 SAINT LANDRY ST | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705064627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3379810305 | ||||||||
| FaxNumber: | 3379882227 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2005 | ||||||||
| LastUpdateDate: | 07/17/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 04242R | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 1392812 | 05 | LA | MEDICAID |