Physician Compare National (NPI:1023262110)

HEALTHCARE PROVIDER: CRISTY GIANNA MARTINEZ-LOPEZ 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	1023262110
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658692074
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150610000761
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTINEZ LOPEZ
	Individual professional last name
Provider First Name	CRISTY
	Individual professional first name
Provider Middle Name	G.
	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	2003
	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	HIMA PLAZA I
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 312
	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	00725
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7879614668
	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	400032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL HERMANOS MELENDEZ INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DOCTORS' CENTER BAYAMON
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y