Physician Compare National (NPI:1497744072)

HEALTHCARE PROVIDER: LIDIA M GUERRERO-RODRIGUEZ DMD

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

Individual Professional Information
NPI	1497744072
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507084498
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140908000772
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GUERRERO RODRIGUEZ
	Individual professional last name
Provider First Name	LIDIA
	Individual professional first 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 DENTISTRY
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	MAXILLOFACIAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	CIRUGIA ORAL Y MAXILOFACIAL METROPOLITANA
	Group Practice or individual's line 1 address
Line 2 Street Address	URB REPARTO AMERICA 521 CALLE ANTONIO VALCARCEL
	Group Practice or individual's line 2 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009233337
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877554347
	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	400061
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL UNIVERSITARIO DE ADULTO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y