Physician Compare National (NPI:1730112160)

HEALTHCARE PROVIDER: NESTOR ISIDRO CONCEPCION DEL ROSARIO 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	1730112160
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032369632
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121017000048
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DELROSARIO
	Individual professional last name
Provider First Name	NESTOR
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EASTERN VIRGINIA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PULMONARY DISEASE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	94 -939 KAHUAILANI ST
	Group Practice or individual's line 1 address
City	WAIPAHU
	Group Practice or individual's city
State	HI
	Group Practice or individual's state
Zip Code	967973326
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	120001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE QUEENS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	120026
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PALI MOMI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y