Physician Compare National (NPI:1467573204)

HEALTHCARE PROVIDER: HORACIO FERNANDO DAUBON DEL VALLE 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	1467573204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264578475
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091001000243
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DAUBON-DEL VALLE
	Individual professional last name
Provider First Name	HORACIO
	Individual professional first name
Provider Middle Name	F
	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 PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	EDIFICIO MEDICO STA CRUZ
	Group Practice or individual's line 1 address
Line 2 Street Address	404 CALLE STA CRUZ 73
	Group Practice or individual's line 2 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009619998
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400109
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HIMA SAN PABLO BAYAMON
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y