Physician Compare National (NPI:1245477090)

HEALTHCARE PROVIDER: FRANCISCO J RUIZ FULLANA 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	1245477090
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294019899
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170227001792
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RUIZ FULLANA
	Individual professional last name
Provider First Name	FRANCISCO
	Individual professional first name
Provider Middle Name	JAVIER
	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	2008
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	369 AVE DE DIEGO
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 506
	Group Practice or individual's line 2 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009091711
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877568126
	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