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Physician Compare National (NPI:1255323093)

HEALTHCARE PROVIDER: MAURICIO MELHADO MD

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

Individual Professional Information

NPI 1255323093
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2567428691
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20041209000498
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MELHADO
Individual professional last name
Provider First Name MAURICIO
Individual professional first name
Provider Middle Name ENRIQUE
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3472 FOREST HILL BLVD
Group Practice or individual's line 1 address
Line 2 Street Address 3B
Group Practice or individual's line 2 address
City WEST PALM BEACH
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334065864
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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