Physician Compare National (NPI:1013906007)

HEALTHCARE PROVIDER: JOSE L ORTIZ COLON MD

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

Individual Professional Information
NPI	1013906007
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880855196
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120413000217
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ORTIZ COLON
	Individual professional last name
Provider First Name	JOSE
	Individual professional first name
Provider Middle Name	LUIS
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	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	CARR 2 INT 668 HERNANDEZ CARRION ST URB ATENAS
	Group Practice or individual's line 1 address
Line 2 Street Address	MANATI MEDICAL CENTER OFIC 206 SECOND FLOOR
	Group Practice or individual's line 2 address
City	MANATI
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006749801
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878543249
	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	400114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MANATI MEDICAL CENTER DR OTERO LOPEZ
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y