Physician Compare National (NPI:1689627028)

HEALTHCARE PROVIDER: CARLOS ALBERTO ANAYA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689627028
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103854914
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140311001339
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANAYA
	Individual professional last name
Provider First Name	CARLOS
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERVENTIONAL RADIOLOGY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL SURGERY, INTERVENTIONAL RADIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	CALLE HERNANDEZ CARRION
	Group Practice or individual's line 1 address
Line 2 Street Address	URB ATENAS
	Group Practice or individual's line 2 address
City	MANATI
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00674
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AUXILIO MUTUO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DOCTORS' CENTER BAYAMON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	400118
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DOCTORS' CENTER HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	400132
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	DOCTORS CENTER HOSPITAL SAN FERNANDO DE LA CAROLINA
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y