Physician Compare National (NPI:1184844094)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1184844094
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416012513
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090224000134
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PABLOS
	Individual professional last name
Provider First Name	ALEXIS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	HOSPITAL HIMA SAN PABLO AVE GENERAL VALERO
	Group Practice or individual's line 1 address
Line 2 Street Address	KIL 2.6 CARR 194 EDIF 404
	Group Practice or individual's line 2 address
City	FAJARDO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00738
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878011818
	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