Individual Professional Information |
|
NPI
|
1316934797
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
7012133127
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20140725002023
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
FERNANDEZ
|
|
Individual professional last name
|
|
Provider First Name
|
ROMMIL
|
|
Individual professional first name
|
|
Provider Gender
|
M
|
|
The provider's gender if the provider is a person.
|