Physician Compare National (NPI:1588823751)

HEALTHCARE PROVIDER: OMAR HIDALGO LLAGUNA 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	1588823751
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890849673
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110816000554
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LLAGUNA
	Individual professional last name
Provider First Name	OMAR
	Individual professional first name
Provider Middle Name	H.
	Individual professional middle 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	2004
	Individual professional's medical school graduation year
Primary Specialty	SURGICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTH BROWARD HOSPITAL DISTRICT
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8123927373
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	371
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	601 N FLAMINGO RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	PEMBROKE PINES
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	330281012
	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
Professional Accepts Medicare Assignment	Y