Physician Compare National (NPI:1538337191)

HEALTHCARE PROVIDER: ROBERTO CARRALERO ARNP

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

Individual Professional Information
NPI	1538337191
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466530340
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080417000159
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARRALERO
	Individual professional last name
Provider First Name	ROBERTO
	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	2007
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	651 E 25 ST
	Group Practice or individual's line 1 address
City	HIALEAH
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	330133814
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100183
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CORAL GABLES HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100284
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WESTCHESTER GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100053
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HIALEAH HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100187
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PALMETTO GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y