Physician Compare National (NPI:1558346783)

HEALTHCARE PROVIDER: ROMEO SAPURIADA MICLAT 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	1558346783
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870405863
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100303000592
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MICLAT
	Individual professional last name
Provider First Name	ROMEO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1970
	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	1060 ABBE RD N
	Group Practice or individual's line 1 address
City	ELYRIA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	440351614
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360145
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360172
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	361306
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY ALLEN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y