Physician Compare National (NPI:1174852248)

HEALTHCARE PROVIDER: ZAYDALEE CARDONA RODRIGUEZ

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174852248
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476773375
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140926001932
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARDONA RODRIGUEZ
	Individual professional last name
Provider First Name	ZAYDALEE
	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	2007
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	CARR 110 BO PUEBLO CALLE CONCEPCION VERA 550
	Group Practice or individual's line 1 address
Line 2 Street Address	HOSPITAL SAN CARLOS BORRMEO
	Group Practice or individual's line 2 address
City	MOCA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006760068
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878778000
	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	400079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSP COMUNITARIO BUEN SAMARITANO
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400111
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL SAN CARLOS BORROMEO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y