| Saisystems Health Fl Llc | |
|
2054 Vista Pkwy Ste 400 West Palm Beach FL 33411-6742 | |
| (203) 929-0790 | |
| Not Available |
| Full Name | Saisystems Health Fl Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2054 Vista Pkwy Ste 400, West Palm Beach, Florida |
| Authorized Official Name and Position | Manoj Wadhwani (VICE PRESIDENT) |
| Authorized Official Contact | 2035675211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saisystems Health Fl Llc 5 Research Dr Shelton CT 06484-6232 Ph: (203) 929-0790 | Saisystems Health Fl Llc 2054 Vista Pkwy Ste 400 West Palm Beach FL 33411-6742 Ph: (203) 929-0790 |
| NPI Number | 1255999405 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 9830521343 |
|---|---|
| Medicare Enrollment ID | O20191120003131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255999405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Carlos Alberto Rueda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366490195 PECOS PAC ID: 6103807607 Enrollment ID: I20191121000822 |
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