Physician Compare National (NPI:1255955928)

HEALTHCARE PROVIDER: RICARDO ALEJANDRO RODRIGUEZ-VAZQUEZ 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	1255955928
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072935527
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200610002716
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ VAZQUEZ
	Individual professional last name
Provider First Name	RICARDO ALEJANDRO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	145 CENTURY DR
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 5304
	Group Practice or individual's line 2 address
City	ALEXANDRIA
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	223047518
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y