Physician Compare National (NPI:1104132927)

HEALTHCARE PROVIDER: RICARDO ALEMAN CHINEA 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	1104132927
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951545136
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130910000877
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALEMAN CHINEA
	Individual professional last name
Provider First Name	RICARDO
	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	2003
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13475 SOUTHERN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	LOXAHATCHEE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	334709203
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100269
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALMS WEST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y