Physician Compare National (NPI:1720406929)

HEALTHCARE PROVIDER: ASA REUBEN FREY DC

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

Individual Professional Information
NPI	1720406929
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234353442
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150515001958
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FREY
	Individual professional last name
Provider First Name	ASA
	Individual professional first name
Provider Middle Name	REUBEN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	EDIFICIO ROMAN LOCAL
	Group Practice or individual's line 1 address
Line 2 Street Address	1 CARR. 107 KM 1.1
	Group Practice or individual's line 2 address
City	AGUADILLA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00603
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y