Physician Compare National (NPI:1104825611)

HEALTHCARE PROVIDER: UBALDO G SANTIAGO BUONO 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	1104825611
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961413620
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060509000436
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANTIAGO BUONO
	Individual professional last name
Provider First Name	UBALDO
	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.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1429 AVE FERNANDEZ JUNCOS
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009092658
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877222371
	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	400132
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS CENTER HOSPITAL SAN FERNANDO DE LA CAROLINA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DOCTOR'S CENTER DE SAN JUAN
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	400019
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOSPITAL PAVIA SANTURCE
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	400131
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CARIBBEAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y