Physician Compare National (NPI:1578574836)

HEALTHCARE PROVIDER: JOSE-JOAQUIN LOARCA PT

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

Individual Professional Information
NPI	1578574836
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153410378
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071211000135
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LOARCA
	Individual professional last name
Provider First Name	JOSE
	Individual professional first name
Provider Middle Name	J
	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	1995
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	317 RUES LN
	Group Practice or individual's line 1 address
City	EAST BRUNSWICK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088163755
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y