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Physician Compare National (NPI:1477611705)

HEALTHCARE PROVIDER: DORIS MILAGROS ITURRINO MD FACP

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

Individual Professional Information

NPI 1477611705
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8527153022
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070928000152
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ITURRINO
Individual professional last name
Provider First Name DORIS
Individual professional first name
Provider Middle Name M
Individual professional middle 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 2002
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 GERIATRIC MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties GERIATRIC MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address PERAL 15 N 1ST FLOOR
Group Practice or individual's line 1 address
City MAYAGUEZ
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 00680
Group Practice or individual's zip code (9 digits when available)
Phone Number 7878062770
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 400021
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOSPITAL DE LA CONCEPCION
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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