Physician Compare National (NPI:1558507681)

HEALTHCARE PROVIDER: MARICARMEN LOPEZ MALDONADO 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	1558507681
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688989213
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151215001218
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LOPEZ MALDONADO
	Individual professional last name
Provider First Name	MARICARMEN
	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 MEDICINE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1845 CARR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009597200
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y