Physician Compare National (NPI:1447467949)

HEALTHCARE PROVIDER: LEANDRO PEREZ 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	1447467949
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446420673
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150429001021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PEREZ
	Individual professional last name
Provider First Name	LEANDRO
	Individual professional first 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	2001
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COLLIER URGENT CARE PA
	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	4981731239
	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	9400 BONITA BEACH RD SE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	BONITA SPRINGS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	341354520
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2393000586
	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	100286
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y