Physician Compare National (NPI:1790982155)

HEALTHCARE PROVIDER: VALENTIN JOSE DEL RIO SANTIAGO 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	1790982155
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759506389
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140715001616
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEL RIO SANTIAGO
	Individual professional last name
Provider First Name	VALENTIN
	Individual professional first name
Provider Middle Name	JOSE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PCI GROUP LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4688985625
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	668 HERNANDEZ CARRION URB ATENAS
	Group Practice or individual's line 1 address
City	MANATI
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	00674
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7879180066
	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	400114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MANATI MEDICAL CENTER DR OTERO LOPEZ
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400087
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL DR CAYETANO COLL Y TOSTE
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y