Physician Compare National (NPI:1326121013)

HEALTHCARE PROVIDER: ENID GONZALEZ-PAGAN O.D.

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

Individual Professional Information
NPI	1326121013
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658560578
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110107000613
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GONZALEZ-PAGAN
	Individual professional last name
Provider First Name	ENID
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	15 CALLE 65 DE INFANTERIA S
	Group Practice or individual's line 1 address
City	LAJAS
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006672010
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878991244
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y