Physician Compare National (NPI:1255382537)

HEALTHCARE PROVIDER: VIOLETTA LYRA 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	1255382537
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315133329
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101201001271
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LYRA
	Individual professional last name
Provider First Name	VIOLETTA
	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 MIAMI, LM MILLER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	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	1380 NE MIAMI GARDENS DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 260
	Group Practice or individual's line 2 address
City	MIAMI
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	331794721
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100034
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNT SINAI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100131
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	AVENTURA HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100038
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y