Physician Compare National (NPI:1306123500)

HEALTHCARE PROVIDER: ERIC GILBERTO HERNANDEZ-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	1306123500
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799056156
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190415000810
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERNANDEZ-ORTIZ
	Individual professional last name
Provider First Name	ERIC
	Individual professional first name
Provider Middle Name	GILBERTO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2225 PONCE BY PASS
	Group Practice or individual's line 1 address
Line 2 Street Address	EDIFICIO PARRA SUITE 1004
	Group Practice or individual's line 2 address
City	PONCE
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007171313
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878408686
	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	400022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL DAMAS INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400013
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL MENONITA DE CAYEY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y