Physician Compare National (NPI:1811094139)

HEALTHCARE PROVIDER: DR. LISBETH REYES MARTINEZ

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

Individual Professional Information
NPI	1811094139
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072770551
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120210000801
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REYES MARTINEZ
	Individual professional last name
Provider First Name	LISBETH
	Individual professional first name
Provider Middle Name	M
	Individual professional middle 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	1991
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	21 -25 CARR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 174
	Group Practice or individual's line 2 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009596512
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M