Physician Compare National (NPI:1386712388)

HEALTHCARE PROVIDER: CARLOS JAVIER GUZMAN 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	1386712388
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436346194
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101207000439
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUZMAN ORTIZ
	Individual professional last name
Provider First Name	CARLOS
	Individual professional first name
Provider Middle Name	JAVIER
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO MEDICAL UNIVERSITY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INFECTIOUS DISEASE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INFECTIOUS DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	203 OFICINA
	Group Practice or individual's line 1 address
City	AIBONITO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00705
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877356995
	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	400018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MENNONITE GENERAL HOSPITAL INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y