Physician Compare National (NPI:1245358118)

HEALTHCARE PROVIDER: SANDRA ENID MARRERO 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	1245358118
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305071861
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200511001303
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARRERO ORTIZ
	Individual professional last name
Provider First Name	SANDRA
	Individual professional first name
Provider Middle Name	ENID
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	SURGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	200 CARR
	Group Practice or individual's line 1 address
Line 2 Street Address	2 SUITE 205
	Group Practice or individual's line 2 address
City	MANATI
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006744661
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7873602973
	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