Physician Compare National (NPI:1790923050)

HEALTHCARE PROVIDER: WILFREDO ALONSO 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	1790923050
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365586856
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100222000695
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALONSO
	Individual professional last name
Provider First Name	WILFREDO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	LOBBY BUEN SAMARITANO
	Group Practice or individual's line 1 address
Line 2 Street Address	AVENUE SEVERIANO CUEVAS 18
	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	006035307
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7878913975
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400079
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSP COMUNITARIO BUEN SAMARITANO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y