Physician Compare National (NPI:1346333465)

HEALTHCARE PROVIDER: GUADALUPE JAVEIR CAVAZOS JR. D.P.M.

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

Individual Professional Information
NPI	1346333465
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608834254
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041229000269
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAVAZOS
	Individual professional last name
Provider First Name	GUADALUPE
	Individual professional first name
Provider Middle Name	J
	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.
Provider Credential Text	DPM
	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	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3403 W ALBERTA RD
	Group Practice or individual's line 1 address
City	EDINBURG
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785398465
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y