Provider Demographics
NPI:1801061882
Name:REGATIERI, ALESSANDRA SAITO (MD)
Entity type:Individual
Prefix:DR
First Name:ALESSANDRA
Middle Name:SAITO
Last Name:REGATIERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 S CONGRESS AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6614
Mailing Address - Country:US
Mailing Address - Phone:561-967-0101
Mailing Address - Fax:
Practice Address - Street 1:5503 S CONGRESS AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6614
Practice Address - Country:US
Practice Address - Phone:561-967-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00107372207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004958900Medicaid
FL004958900Medicaid