Physician Compare National (NPI:1316029242)

HEALTHCARE PROVIDER: MILTON D CARRERO 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	1316029242
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901818251
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120417000311
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARRERO
	Individual professional last name
Provider First Name	MILTON
	Individual professional first name
Provider Middle Name	DAVID
	Individual professional middle 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	1982
	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	55 N DR BASORA ST
	Group Practice or individual's line 1 address
Line 2 Street Address	MEDICO IV SUITE 103
	Group Practice or individual's line 2 address
City	MAYAGUEZ
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00680
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878339060
	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	400103
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAYAGUEZ MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y