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Physician Compare National (NPI:1861415184)

HEALTHCARE PROVIDER: DORIS GISELA LASANTA 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 1861415184
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3072615392
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070216000321
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LASANTA MORALES
Individual professional last name
Provider First Name DORIS
Individual professional first name
Provider Middle Name G
Individual professional middle name
Provider Gender F
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 PUERTO RICO SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GERIATRIC MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GERIATRIC MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address CALLE 42
Group Practice or individual's line 1 address
Line 2 Street Address 1 TURABO GARDENS V
Group Practice or individual's line 2 address
City CAGUAS
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 007276626
Group Practice or individual's zip code (9 digits when available)
Phone Number 7877472883
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

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