Physician Compare National (NPI:1508902388)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1508902388
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496979510
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140611001716
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PADILLA HERNANDEZ
	Individual professional last name
Provider First Name	HECTOR
	Individual professional first name
Provider Middle Name	O
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	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	CARR 165 KM 10
	Group Practice or individual's line 1 address
Line 2 Street Address	OFICINA 1 LILLY MALL
	Group Practice or individual's line 2 address
City	TOA ALTA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009540178
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878706679
	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