Physician Compare National (NPI:1104077213)

HEALTHCARE PROVIDER: JESSE R. ALEMAN-ORTIZ M. D., MPH

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

Individual Professional Information
NPI	1104077213
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082908967
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160816001739
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALEMAN-ORTIZ
	Individual professional last name
Provider First Name	JESSE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	HOSPITAL DAMAS INC
	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	2668431966
	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	11
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2213 CALLE
	Group Practice or individual's line 1 address
City	PONCE
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00717
	Group Practice or individual's zip code (9 digits when available)
Phone Number	78784086867055
	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	400022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL DAMAS INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y