Physician Compare National (NPI:1801892245)

HEALTHCARE PROVIDER: RICARDO RIVERA-MORALES 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	1801892245
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840185963
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040220000100
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIVERA-MORALES
	Individual professional last name
Provider First Name	RICARDO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	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	800 CENTURY MEDICAL DR A
	Group Practice or individual's line 1 address
City	TITUSVILLE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	327962151
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARRISH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	100092
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WUESTHOFF MEDICAL CENTER ROCKLEDGE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100177
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CAPE CANAVERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100315
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	VIERA HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	470003
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1801892245)

HEALTHCARE PROVIDER: RICARDO RIVERA-MORALES M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information