Physician Compare National (NPI:1093797011)

HEALTHCARE PROVIDER: CARLOS ELVIN DIAZ 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	1093797011
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557445665
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140623002539
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIAZ
	Individual professional last name
Provider First Name	CARLOS
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHWESTERN EYE CENTER, LTD
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1850296989
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	80
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2030 S SOLANO DR
	Group Practice or individual's line 1 address
City	LAS CRUCES
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	880015402
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5755211158
	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