Physician Compare National (NPI:1245496637)

HEALTHCARE PROVIDER: MARIELLE DENISSE SANCHEZ 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	1245496637
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7517148620
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110223000247
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANCHEZ
	Individual professional last name
Provider First Name	MARIELLE
	Individual professional first name
Provider Gender	F
	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	2007
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	E50 CALLE MARGINAL
	Group Practice or individual's line 1 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009595513
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7876751010
	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	400016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AUXILIO MUTUO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y