Physician Compare National (NPI:1275986861)

HEALTHCARE PROVIDER: ALDO OMAR MANRESA D.O.

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

Individual Professional Information
NPI	1275986861
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507110020
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181119001921
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANRESA
	Individual professional last name
Provider First Name	ALDO
	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	2016
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2751 EXECUTIVE PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	WESTON
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	333313661
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HOSPITAL OF MIAMI
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100034
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOUNT SINAI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y