Physician Compare National (NPI:1487620340)

HEALTHCARE PROVIDER: ISMAEL RODRIGUEZ-RIVERA MD, BC

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

Individual Professional Information
NPI	1487620340
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032393889
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110404000114
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ RIVERA
	Individual professional last name
Provider First Name	ISMAEL
	Individual professional first 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	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	64 CALLE SANTA CRUZ
	Group Practice or individual's line 1 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009617003
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877858600
	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	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