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Physician Compare National (NPI:1831157163)

HEALTHCARE PROVIDER: BARUCH CABALLERO-VALIENTE MD

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

Individual Professional Information

NPI 1831157163
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9537216049
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090420000282
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CABALLERO-VALIENTE
Individual professional last name
Provider First Name BARUCH
Individual professional first name
Provider Middle Name O
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
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 328 EDIF CHEVERE OFIC 2D4 PDA
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 22
Group Practice or individual's line 2 address
City SANTURCE
Group Practice or individual's city
State PR
Group Practice or individual's state
Zip Code 00901
Group Practice or individual's zip code (9 digits when available)
Phone Number 7872005414
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 400019
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOSPITAL PAVIA SANTURCE
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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