Physician Compare National (NPI:1760487748)

HEALTHCARE PROVIDER: RAUL ANTONIO SALCEDO D.P.M

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

Individual Professional Information
NPI	1760487748
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880759091
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090220000534
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SALCEDO OQUENDO
	Individual professional last name
Provider First Name	RAUL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	AVE BETANCES
	Group Practice or individual's line 1 address
Line 2 Street Address	56 OFFICE 101 HERMANAS DAVILA
	Group Practice or individual's line 2 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009597200
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877873220
	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