Physician Compare National (NPI:1780811331)

HEALTHCARE PROVIDER: KARINES RIVERA MARRERO 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	1780811331
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274842877
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151022000541
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIVERA MARRERO
	Individual professional last name
Provider First Name	KARINES
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	550 AVE CONCEPCION VERA AYALA
	Group Practice or individual's line 1 address
City	MOCA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00676
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL SAN CARLOS BORROMEO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y