Physician Compare National (NPI:1790970788)

HEALTHCARE PROVIDER: NOLBERTO SANCHEZ 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	1790970788
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729027578
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121129000551
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANCHEZ
	Individual professional last name
Provider First Name	NOLBERTO
	Individual professional first name
Provider Middle Name	A
	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	1990
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2928 DANIELS ST
	Group Practice or individual's line 1 address
City	MARIANNA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	324462912
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100142
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JACKSON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y