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Physician Compare National (NPI:1477655710)

HEALTHCARE PROVIDER: RICARDO LUIS RODRIGUEZ DELGADO 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 1477655710
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1658379912
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20061121000018
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RODRIGUEZ DELGADO
Individual professional last name
Provider First Name RICARDO
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty GENERAL PRACTICE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address URB COUNTRY CLUB TERCERA EXTENSION
Group Practice or individual's line 1 address
Line 2 Street Address HM 1 AVE EL COMANDANTE
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 009822775
Group Practice or individual's zip code (9 digits when available)
Phone Number 7879988040
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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