Physician Compare National (NPI:1497774855)

HEALTHCARE PROVIDER: JUAN LUIS ZAMORA 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	1497774855
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799840815
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090224000322
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZAMORA
	Individual professional last name
Provider First Name	JUAN
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PATHOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PATHOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CARDINAL REHAB SERVICES, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5991975716
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	835 S GOOD LATIMER EXPY
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 1115
	Group Practice or individual's line 2 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752261803
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8175036986
	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