Provider Demographics
NPI:1548436066
Name:VIE SAINTE
Entity type:Organization
Organization Name:VIE SAINTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SNJEZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAN MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:561-721-1251
Mailing Address - Street 1:3130 S CONGRESS AVE
Mailing Address - Street 2:STE B
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2552
Mailing Address - Country:US
Mailing Address - Phone:561-721-1251
Mailing Address - Fax:561-721-1057
Practice Address - Street 1:3130 S CONGRESS AVE
Practice Address - Street 2:STE B
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2552
Practice Address - Country:US
Practice Address - Phone:561-721-1251
Practice Address - Fax:561-721-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37623225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA37623OtherFLORIDA STATE MASSAGE THERAPY LICENSE