Physician Compare National (NPI:1013140292)

HEALTHCARE PROVIDER: ILEANA EILEEN OCASIO MELENDEZ 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	1013140292
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608096011
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141007002311
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OCASIO MELENDEZ
	Individual professional last name
Provider First Name	ILEANA
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	26 PLAZA DORADO
	Group Practice or individual's line 1 address
City	DORADO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00646
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7876213322
	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	400061
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL UNIVERSITARIO DE ADULTO
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL ONCOLOGICO DR ISAAC GONZALEZ MARTINEZ
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	400112
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOSPITAL UPR, DR FEDERICO TRILLA
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	400127
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADMIN DE SERVICIOS MEDICOS PUERTO RIC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y