Physician Compare National (NPI:1538691530)

HEALTHCARE PROVIDER: LIZA DEL CARMEN SOCORRO MALAVEZ D.C.

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

Individual Professional Information
NPI	1538691530
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002248622
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191121002148
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SOCORRO MALAVEZ
	Individual professional last name
Provider First Name	LIZA
	Individual professional first name
Provider Middle Name	DEL C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2016
	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	CARR 838 KM 1
	Group Practice or individual's line 1 address
City	GUAYNABO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00968
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7872327598
	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