Physician Compare National (NPI:1003934589)

HEALTHCARE PROVIDER: ANA I RIVERA DE LA VEGA 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	1003934589
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648429563
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121009000193
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIVERA DE LA VEGA
	Individual professional last name
Provider First Name	ANA
	Individual professional first name
Provider Middle Name	I
	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	1989
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	70 CALLE SANA CRUZ
	Group Practice or individual's line 1 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009617052
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877404747
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400109
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HIMA SAN PABLO BAYAMON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y