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Physician Compare National (NPI:1134255250)

HEALTHCARE PROVIDER: RUBEN LONGORIA TENORIO JR. D.O.

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

Individual Professional Information

NPI 1134255250
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8921130816
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100712000547
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TENORIO
Individual professional last name
Provider First Name RUBEN
Individual professional first name
Provider Middle Name LONGORIA
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 432 CASTROVILLE RD
Group Practice or individual's line 1 address
City SAN ANTONIO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 782075147
Group Practice or individual's zip code (9 digits when available)
Phone Number 2104328871
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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