Physician Compare National (NPI:1053391805)

HEALTHCARE PROVIDER: LYDIA DIAZ BORRAS 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	1053391805
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597890657
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100316000143
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIAZ BORRAS
	Individual professional last name
Provider First Name	LYDIA
	Individual professional first 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	1983
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	202 CALLE GAUTIER BENITEZ
	Group Practice or individual's line 1 address
City	CAGUAS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007255512
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7872581123
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y