Physician Compare National (NPI:1386749620)

HEALTHCARE PROVIDER: CESAR A RIVERA 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	1386749620
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901975317
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100713000705
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIVERA
	Individual professional last name
Provider First Name	CESAR
	Individual professional first name
Provider Middle Name	A
	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	1990
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	NEFROLOGOS ASOCIADOS DEL NORTE
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8921181736
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	ARECIBO PLAZA CTR
	Group Practice or individual's line 1 address
City	ARECIBO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006124806
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878793328
	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	400118
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS' CENTER HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400087
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL DR CAYETANO COLL Y TOSTE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	400117
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOSPITAL DR SUSONI INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y