Physician Compare National (NPI:1447336326)

HEALTHCARE PROVIDER: LISETTE HUERTAS-SOLA M.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	1447336326
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729267927
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110120000080
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUERTAS-SOLA
	Individual professional last name
Provider First Name	LISETTE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	AVE FRAGOSO
	Group Practice or individual's line 1 address
Line 2 Street Address	4ES9
	Group Practice or individual's line 2 address
City	CAROLINA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00983
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877692410
	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	400001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PRESBYTERIAN COMMUNITY HOSP
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y