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Physician Compare National (NPI:1528399813)

HEALTHCARE PROVIDER: MONICA VALES RD, 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 1528399813
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9234482894
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20181029001120
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name VALES
Individual professional last name
Provider First Name MONICA
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 2008
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 LOCAL 1 CARR 2 KM
Group Practice or individual's line 1 address
Line 2 Street Address 3 BO LAVADERO
Group Practice or individual's line 2 address
City HORMIGUEROS
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 00660
Group Practice or individual's zip code (9 digits when available)
Phone Number 7875050737
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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