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Physician Compare National (NPI:1407475163)

HEALTHCARE PROVIDER: JACQUELINE NORAT LND

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

Individual Professional Information

NPI 1407475163
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7618399049
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20200612000252
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NORAT
Individual professional last name
Provider First Name JACQUELINE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address BO BORINQUEN CARR 765 KM
Group Practice or individual's line 1 address
Line 2 Street Address 5 FELIPITO FLORES STREET
Group Practice or individual's line 2 address
City CAGUAS
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 007259446
Group Practice or individual's zip code (9 digits when available)
Phone Number 7872464800
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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