Physician Compare National (NPI:1710189402)

HEALTHCARE PROVIDER: ZULEIKA DIAZ NEGRON MD FACS

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

Individual Professional Information
NPI	1710189402
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921172800
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121024000064
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DIAZ NEGRON
	Individual professional last name
Provider First Name	ZULEIKA
	Individual professional first name
Provider Gender	F
	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	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	909 AVE TITO CASTRO TORRE MEDICA
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 502
	Group Practice or individual's line 2 address
City	PONCE
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007164717
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400044
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAN LUKE'S MEMORIAL HOSPITAL INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y