Physician Compare National (NPI:1619013133)

HEALTHCARE PROVIDER:

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

Individual Professional Information
NPI	1619013133
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496046336
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160623000520
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIAZ VAZQUEZ
	Individual professional last name
Provider First Name	ARTURO
	Individual professional first name
Provider Gender	M
	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	1980
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	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	2 SUITE 506
	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	009597204
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877877200
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y