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Physician Compare National (NPI:1033112529)

HEALTHCARE PROVIDER: ALEJANDRO A PORRATA NIEVA 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 1033112529
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9436130895
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110613000465
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PORRATA NIEVA
Individual professional last name
Provider First Name ALEJANDRO
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1998
Individual professional's medical school graduation year
Primary Specialty INTERVENTIONAL PAIN MANAGEMENT
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PAIN MANAGEMENT
First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2 PHYSICAL MEDICINE AND REHABILITATION
Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1395 SAN RAFAEL APDO
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 11338
Group Practice or individual's line 2 address
City SAN JUAN
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 009103428
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 400006
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 DOCTOR'S CENTER DE SAN JUAN
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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