Physician Compare National (NPI:1831276732)

HEALTHCARE PROVIDER: JENNIFFER MARIE VARGAS SANTOS 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	1831276732
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456457449
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070508000620
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VARGAS SANTOS
	Individual professional last name
Provider First Name	JENNIFFER
	Individual professional first name
Provider Middle Name	MARIE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PONCE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8118 CALLE CONCORDIA
	Group Practice or individual's line 1 address
City	PONCE
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007171562
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7876516300
	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	400022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL DAMAS INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y