Physician Compare National (NPI:1821149998)

HEALTHCARE PROVIDER: ISAMAR GONZALEZ LCDA.

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

Individual Professional Information
NPI	1821149998
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446354153
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101103001027
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GONZALEZ
	Individual professional last name
Provider First Name	ISAMAR
	Individual professional first 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	2000
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	CARR 651 KM 5
	Group Practice or individual's line 1 address
Line 2 Street Address	BO DOMINGUITO
	Group Practice or individual's line 2 address
City	ARECIBO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006129380
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y