Physician Compare National (NPI:1619143542)

HEALTHCARE PROVIDER: MELIZA MARTINEZ RODRIGUEZ 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	1619143542
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163567967
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100304000466
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTINEZ RODRIGUEZ
	Individual professional last name
Provider First Name	MELIZA
	Individual professional first name
Provider Gender	F
	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	2004
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	CENTRO MEDICO DE PR
	Group Practice or individual's line 1 address
Line 2 Street Address	CARR 20 BO MONACILLO
	Group Practice or individual's line 2 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009360001
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7875476355
	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	400016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AUXILIO MUTUO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y