Physician Compare National (NPI:1033181029)

HEALTHCARE PROVIDER: JORGE LUIS RODRIGUEZ-SAENZ 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	1033181029
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820215072
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140812000292
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ-SAENZ
	Individual professional last name
Provider First Name	JORGE
	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	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1451 AVE ASHFORD
	Group Practice or individual's line 1 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009071511
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877222915
	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	400019
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL PAVIA SANTURCE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400122
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROFESSIONAL HOSPITAL GUAYNABO INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M