Physician Compare National (NPI:1578661427)

HEALTHCARE PROVIDER: ANGEL M REYES-ALICEA MD

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

Individual Professional Information
NPI	1578661427
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911032446
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100322000914
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REYES ALICEA
	Individual professional last name
Provider First Name	ANGEL
	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	1978
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	CALLE ARGENTINA 1 ALTOS
	Group Practice or individual's line 1 address
Line 2 Street Address	URB OASIS GARDENS
	Group Practice or individual's line 2 address
City	GUAYNABO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00969
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877209190
	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	400006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTOR'S CENTER DE SAN JUAN
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y