Physician Compare National (NPI:1063484913)

HEALTHCARE PROVIDER: ROMULO CLAVELO M.D.P.A.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063484913
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345210506
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040727000889
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CLAVELO
	Individual professional last name
Provider First Name	ROMULO
	Individual professional first 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	1986
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1325 SW 1ST ST
	Group Practice or individual's line 1 address
City	MIAMI
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	331352301
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100183
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CORAL GABLES HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100284
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WESTCHESTER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y