Physician Compare National (NPI:1487791976)

HEALTHCARE PROVIDER: MANUEL JIMENEZ-ESPINOSA 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	1487791976
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032202312
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070831000251
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JIMENEZ ESPINOSA
	Individual professional last name
Provider First Name	MANUEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	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	CARR 111 KM
	Group Practice or individual's line 1 address
Line 2 Street Address	2 BO. HATO ARRIBA
	Group Practice or individual's line 2 address
City	SAN SEBASTIAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006859100
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878963878
	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	400079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSP COMUNITARIO BUEN SAMARITANO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y