Physician Compare National (NPI:1629276951)

HEALTHCARE PROVIDER: OMAR MORALES 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	1629276951
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709034952
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120913000553
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORALES
	Individual professional last name
Provider First Name	OMAR
	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	2005
	Individual professional's medical school graduation year
Primary Specialty	HAND SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ORTHOPEDIC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ORTHOPEDIC SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	310 AVE JOSE DE DIEGO
	Group Practice or individual's line 1 address
Line 2 Street Address	PLAZA DE DIEGO SUITE 301
	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	00912
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400019
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL PAVIA SANTURCE
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y