Physician Compare National (NPI:1760511901)

HEALTHCARE PROVIDER: ALVARO MORA-PEREZ M.D.

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

Individual Professional Information
NPI	1760511901
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254460462
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100526001061
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORA-PEREZ
	Individual professional last name
Provider First Name	ALVARO
	Individual professional first 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	1969
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SSM HEALTH CARE ST LOUIS
	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	7810800737
	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	97
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1015 BOWLES AVE
	Group Practice or individual's line 1 address
City	FENTON
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	630262394
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6364962502
	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