Provider Demographics
NPI:1740939545
Name:SAINZ, CARMEN ESTEFANIA (DO)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:ESTEFANIA
Last Name:SAINZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 SW PRIMA VISTA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1820
Mailing Address - Country:US
Mailing Address - Phone:772-905-2555
Mailing Address - Fax:
Practice Address - Street 1:672 SW PRIMA VISTA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1820
Practice Address - Country:US
Practice Address - Phone:772-905-2555
Practice Address - Fax:772-336-8153
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS20909207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice