Physician Compare National (NPI:1093897381)

HEALTHCARE PROVIDER: ERICK G. NIEVES RIVERA 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	1093897381
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981786746
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080201000027
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIEVES RIVERA
	Individual professional last name
Provider First Name	ERICK
	Individual professional first name
Provider Middle Name	G
	Individual professional middle 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	1984
	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	32 CALLE JESUS T PINERO
	Group Practice or individual's line 1 address
City	SAN SEBASTIAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006852227
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7872802600
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL SAN CARLOS BORROMEO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y