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Physician Compare National (NPI:1770534810)

HEALTHCARE PROVIDER: OSCAR RIVERA 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 1770534810
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2365454105
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060619000295
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RIVERA
Individual professional last name
Provider First Name OSCAR
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 1984
Individual professional's medical school graduation year
Primary Specialty PULMONARY DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 202 GAUTIER BENITEZ AVE
Group Practice or individual's line 1 address
Line 2 Street Address CONSOLIDATED MALL SUITE 61 (C1 E)
Group Practice or individual's line 2 address
City CAGUAS
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 007255525
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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