Physician Compare National (NPI:1780992156)

HEALTHCARE PROVIDER: ELVIN MARTINEZ MSPT

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

Individual Professional Information
NPI	1780992156
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335448885
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160504001748
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTINEZ
	Individual professional last name
Provider First Name	ELVIN
	Individual professional first name
Provider Gender	M
	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	2009
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	HACIENDA EL PILAR
	Group Practice or individual's line 1 address
Line 2 Street Address	2002 CALLE REYNA MORA
	Group Practice or individual's line 2 address
City	TOA ALTA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009539421
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y