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Physician Compare National (NPI:1134761190)

HEALTHCARE PROVIDER: LUIZA CASTRO DE SA DC

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

Individual Professional Information

NPI 1134761190
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8820422249
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20191218000315
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CASTRO DE SA
Individual professional last name
Provider First Name LUIZA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Individual professional's medical school
Graduation Year 2019
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name META ARETE LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3173816816
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 875 GREENLAND RD
Group Practice or individual's line 1 address
Line 2 Street Address UNIT B12
Group Practice or individual's line 2 address
City PORTSMOUTH
Group Practice or individual's city
State NH
Group Practice or individual's state
Zip Code 038014162
Group Practice or individual's zip code (9 digits when available)
Phone Number 6033809184
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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