Physician Compare National (NPI:1134413701)

HEALTHCARE PROVIDER: YAIZA MARTINEZ-ORTIZ 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	1134413701
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789968090
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170612000493
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTINEZ ORTIZ
	Individual professional last name
Provider First Name	YAIZA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1394 CALLE SAN RAFAEL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 18
	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	009092525
	Group Practice or individual's zip code (9 digits when available)
Phone Number	78799976207697
	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	400006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTOR'S CENTER DE SAN JUAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y