Physician Compare National (NPI:1427083369)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1427083369
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840102711
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100713000060
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SANCHEZ
	Individual professional last name
Provider First Name	ROLAND
	Individual professional first name
Provider Middle Name	KENT
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	703 CHRISTOPHER DR
	Group Practice or individual's line 1 address
City	BELEN
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	870022617
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5058647781
	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	320017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOVELACE WOMEN'S HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320021
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PRESBYTERIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	320009
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LOVELACE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y