Physician Compare National (NPI:1164596771)

HEALTHCARE PROVIDER: CARLOS REMEDIOS-CARBONE 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	1164596771
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901085695
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110127000229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REMEDIOS CARBONE
	Individual professional last name
Provider First Name	CARLOS
	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	1986
	Individual professional's medical school graduation year
Primary Specialty	RADIATION ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	355 AVE FONT MARTELO
	Group Practice or individual's line 1 address
City	HUMACAO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007913249
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878480800
	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