Physician Compare National (NPI:1912009457)

HEALTHCARE PROVIDER: ELVIN J SIVERIO CASANOVA DC

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

Individual Professional Information
NPI	1912009457
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911067640
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081125000282
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIVERIO-CASANOVA
	Individual professional last name
Provider First Name	ELVIN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1566 CALLE BORI
	Group Practice or individual's line 1 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009276113
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y