Physician Compare National (NPI:1528007788)

HEALTHCARE PROVIDER: RAFAEL MIRANDA MALAVE 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	1528007788
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042409641
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110113000278
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIRANDA MALAVE
	Individual professional last name
Provider First Name	RAFAEL
	Individual professional first 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	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	B5 CALLE CAMARERO
	Group Practice or individual's line 1 address
City	CAROLINA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009878510
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877625316
	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	400128
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL PAVIA HATO REY, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400122
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROFESSIONAL HOSPITAL GUAYNABO INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y