| Saude Medical Services, Llc | |
|
28 Wilson Ter Livingston NJ 07039-2941 | |
| (973) 535-5279 | |
| Not Available |
| Full Name | Saude Medical Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Wilson Ter, Livingston, New Jersey |
| Authorized Official Name and Position | Lauro L Rocha (ADULT NURSE PRACTITIONER) |
| Authorized Official Contact | 9735355279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saude Medical Services, Llc 28 Wilson Ter Livingston NJ 07039-2941 Ph: (973) 535-5279 | Saude Medical Services, Llc 28 Wilson Ter Livingston NJ 07039-2941 Ph: (973) 535-5279 |
| NPI Number | 1164761953 |
|---|---|
| Provider Enumeration Date | 02/13/2013 |
| Last Update Date | 02/13/2013 |
| Medicare PECOS PAC ID | 4385884295 |
|---|---|
| Medicare Enrollment ID | O20130717000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164761953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26NJ00133200 (New Jersey) | Primary |
| Provider Name | Lauro L Rocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639371628 PECOS PAC ID: 6608918750 Enrollment ID: I20100127000733 |
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