Physician Compare National (NPI:1558543496)

HEALTHCARE PROVIDER: ANA E RODRIGUEZ MIRANDA RPT

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

Individual Professional Information
NPI	1558543496
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284884339
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121025000513
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ MIRANDA
	Individual professional last name
Provider First Name	ANA
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1136 MUNOZ RIVERA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	CENTRO TERAPEUTICO DEL SUR
	Group Practice or individual's line 2 address
City	PONCE
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007170643
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y