Physician Compare National (NPI:1053423848)

HEALTHCARE PROVIDER: TRINIDAD ESPIRITU GARCIA 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	1053423848
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153519467
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101230000054
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARCIA
	Individual professional last name
Provider First Name	TRINIDAD
	Individual professional first name
Provider Middle Name	ESPIRITU
	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	1965
	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	8980 S US HWY 1
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	PORT ST LUCIE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	349523482
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100252
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RAULERSON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100044
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MARTIN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y