Individual ProviderRito SaucedaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236(210) 292-6225PECOS EnrollmentBased on the most recent information from CMS, provider Rito Sauceda is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881893451Provider TypeIndividualFull NameSauceda, RitoTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/13/2007Last Updated5/22/2018Contact InformationPractice LocationPractice Address1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236Phone(210) 292-6225Fax(210) 292-7868Mailing LocationMailing Address1100 Wilford Hall Loop, Bldg 4554, Attn: 59mdw/Sghc, Jbsa Lackland, TX 78236-9908Phone(210) 292-6225Fax(210) 292-7868Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseM7599Texas