Physician Compare National (NPI:1144223496)

HEALTHCARE PROVIDER: IVAN GILBERTO MARTINEZ-DELIZ 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	1144223496
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698960599
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101117000121
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTINEZ DELIZ
	Individual professional last name
Provider First Name	IVAN
	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	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	AVENIDA CORAZONES
	Group Practice or individual's line 1 address
Line 2 Street Address	1065 EDIFICIO MEDICO PROFESIONAL SUITE 107 108
	Group Practice or individual's line 2 address
City	MAYAGUEZ
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006807063
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878345640
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y