Physician Compare National (NPI:1306813480)

HEALTHCARE PROVIDER: RAFAEL SENERIZ 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	1306813480
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618872276
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031205000391
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SENERIZ ORTIZ
	Individual professional last name
Provider First Name	RAFAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	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	909 AVE TITO CASTRO
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 507
	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	007164721
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878407533
	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	400044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAN LUKE'S MEMORIAL HOSPITAL INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y