Physician Compare National (NPI:1881744704)

HEALTHCARE PROVIDER: JUAN G GUAJARDO 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	1881744704
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880600733
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060301000501
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUAJARDO
	Individual professional last name
Provider First Name	JUAN
	Individual professional first name
Provider Middle Name	GABRIEL
	Individual professional middle name
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 TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2002
	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
Line 1 Street Address	100 E ALTON GLOOR
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG B SUITE 130
	Group Practice or individual's line 2 address
City	BROWNSVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	785263307
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y