Physician Compare National (NPI:1578723524)

HEALTHCARE PROVIDER: ZAEL VAZQUEZ 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	1578723524
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547447872
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150413002028
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VAZQUEZ
	Individual professional last name
Provider First Name	ZAEL
	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	2006
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	10794 PINES BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	PEMBROKE PINES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	330263920
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100281
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HOSPITAL WEST
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEMORIAL REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100285
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HOSPITAL MIRAMAR
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100230
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HOSPITAL PEMBROKE
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y