Physician Compare National (NPI:1689611907)

HEALTHCARE PROVIDER: JOSE E NEGRON MALDONADO 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	1689611907
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254386030
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110505000624
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NEGRON MALDONADO
	Individual professional last name
Provider First Name	JOSE
	Individual professional first 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	1989
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BAYAMON INTERNAL MEDICINE GROUP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0143275917
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	B1 CALLE SANTA CRUZ
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 506
	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	009616946
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877853687
	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