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Physician Compare National (NPI:1194899427)

HEALTHCARE PROVIDER: RENATO VALENCIA OCAMPO JR. M.D.

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

Individual Professional Information

NPI 1194899427
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0244498798
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120301000043
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name OCAMPO
Individual professional last name
Provider First Name RENATO
Individual professional first name
Provider Middle Name V
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 GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9980 CENTRAL PARK N BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 108
Group Practice or individual's line 2 address
City BOCA RATON
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334281703
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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