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Physician Compare National (NPI:1659331692)

HEALTHCARE PROVIDER: JOSE GUILLERMO AMY 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 1659331692
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3870626807
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100728000507
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name AMY
Individual professional last name
Provider First Name JOSE
Individual professional first name
Provider Middle Name G
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1994
Individual professional's medical school graduation year
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address SANTA ROSA MALL
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 218
Group Practice or individual's line 2 address
City BAYAMON
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 009616905
Group Practice or individual's zip code (9 digits when available)
Phone Number 7877400440
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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