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Physician Compare National (NPI:1629062823)

HEALTHCARE PROVIDER: HECTOR DOMINGO PAGAN-MARRERO I 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 1629062823
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587837752
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20111103000422
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PAGAN-MARRERO
Individual professional last name
Provider First Name HECTOR
Individual professional first name
Provider Middle Name D
Individual professional middle 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 1987
Individual professional's medical school graduation year
Primary Specialty ORTHOPEDIC SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 50 AVE L MUNOZ MARIN
Group Practice or individual's line 1 address
City CAGUAS
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 007253975
Group Practice or individual's zip code (9 digits when available)
Phone Number 7877451380
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
Hospital Affiliation CCN 2 400104
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 HOSPITAL MENONITA CAGUAS INC
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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