Physician Compare National (NPI:1629413323)

HEALTHCARE PROVIDER: SANTIAGO COSTE-SIBILIA 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	1629413323
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153664164
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190515000200
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COSTE-SIBILIA
	Individual professional last name
Provider First Name	SANTIAGO
	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	2016
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	104 A BAYAMON MEDICAL PLAZA
	Group Practice or individual's line 1 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00959
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877989522
	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	400032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL HERMANOS MELENDEZ INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y