Individual provider Active NPI

Mario Rueda, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1972745438
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME127660 Issued in FL
Practice address
3375 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4349
Phone
(561) 799-9559
NPI assigned
Mar 30, 2009
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME127660 FL Primary
Surgical Critical Care Physician 2086S0102X ME127660 FL
Trauma Surgery Physician 2086S0127X ME127660 FL

Addresses

Primary practice location

3375 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4349

Mailing address

3375 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4349
Phone (561) 799-9559

Other practice location 1

3319 S State Road 7 Ste 105
Wellington, FL 33449-8099
Phone (561) 557-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411001379 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 5395058275 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invision Health Florida, LLCGroup PAC ID 5698162642, 33 clinicians
Palm Beach Trauma AssociatesGroup PAC ID 8628311750, 6 clinicians

Practice addresses (Care Compare)

1620 Southern Blvd
Glen Ridge, FL 33406-3242
Phone (561) 800-4111

2560 Rca Blvd
Suite 106
Palm Beach Gardens, FL 33410-3336
Phone (561) 799-9559

3319 S State Rd
7 Suite 105
Wellington, FL 33449-8099
Phone (561) 557-3115

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME127660FLMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Health Florida, LLC CurrentSince Oct 1, 2025 Accepting new patients
Palm Beach Trauma Associates Trauma Surgery CurrentSince Jan 22, 2019 Accepting new patients
Southeast University Physicians PLLC Surgery CurrentSince Mar 1, 2020 Accepting new patients
Mario Rueda MD PLLC Surgery CurrentSince Oct 18, 2016 Accepting new patients
South Florida Trauma and Acute Care Surgery PLLC Surgery PastSince Oct 1, 2025 Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2560 Rca Blvd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 373-8946

3375 Burns Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 284-8383

3319 S State Road 7
Ste 105
Wellington, FL 33449
Phone (561) 557-3115

1620 Southern Blvd
West Palm Beach, FL 33406
Phone (561) 799-9559

Interoperability endpoints

  • Direct secure messaging: mrueda295020@mhsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1972745438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104349",
            "telephone_number": "561-799-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104349",
            "telephone_number": "561-799-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 S State Road 7 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498099",
            "country_code": "US",
            "telephone_number": "561-557-3115",
            "fax_number": "561-425-5147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUEDA",
        "first_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME127660",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME127660",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME127660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.