Physician Compare National (NPI:1063555498)

HEALTHCARE PROVIDER: YAMIL MATEO 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	1063555498
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789810680
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131125000926
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MATEO
	Individual professional last name
Provider First Name	YAMIL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	74 CALLE MONSERRATE
	Group Practice or individual's line 1 address
City	SALINAS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007513263
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878240050
	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