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Physician Compare National (NPI:1982632956)

HEALTHCARE PROVIDER: MYRNA LIZ SIVERIO 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 1982632956
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3476779257
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140731001179
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SIVERIO
Individual professional last name
Provider First Name MYRNA
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2000
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 CONSOLIDATED MALL
Group Practice or individual's line 1 address
Line 2 Street Address 6 AVE GAUTIER BENITEZ
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 00726
Group Practice or individual's zip code (9 digits when available)
Phone Number 7877463730
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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