Physician Compare National (NPI:1003887894)

HEALTHCARE PROVIDER: DR. JUAN A BELTRAN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003887894
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284623810
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101216000845
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BELTRAN
	Individual professional last name
Provider First Name	JUAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1940 W BALTIMORE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	BON SECOURS FAMILY CARE CENTER
	Group Practice or individual's line 2 address
City	BALTIMORE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	212232245
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y