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Physician Compare National (NPI:1649271891)

HEALTHCARE PROVIDER: JOSE DANIEL CRUZ-SANTIAGO 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 1649271891
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6901065457
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120302000245
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CRUZ SANTIAGO
Individual professional last name
Provider First Name JOSE
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 1979
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address CALLE POST 60
Group Practice or individual's line 1 address
Line 2 Street Address EDIF POST CENTER OFIC 206
Group Practice or individual's line 2 address
City MAYAGUEZ
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 006800000
Group Practice or individual's zip code (9 digits when available)
Phone Number 7878323180
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

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