Physician Compare National (NPI:1750329066)

HEALTHCARE PROVIDER: RICARDO GUERRA JR. 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	1750329066
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385605419
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041022000179
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUERRA
	Individual professional last name
Provider First Name	RICARDO
	Individual professional first name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	CARDIOLOGY SPECIALISTS OF NORTH TEXAS, PLLC
	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	1456535624
	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	50
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4510 MEDICAL CTR DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	MCKINNEY
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750691642
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2147269292
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450403
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CENTER OF MCKINNEY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450651
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CITY PLANO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450647
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEDICAL CITY DALLAS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450462
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y