Physician Compare National (NPI:1841215035)

HEALTHCARE PROVIDER: JAVIER RIVERA-ZAYAS 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	1841215035
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022112812
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070404000209
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIVERA ZAYAS
	Individual professional last name
Provider First Name	JAVIER
	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	1996
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GRUPO FISIATRICO DE CIDRA, PSC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0749385466
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	570 AVE EL JIBARO
	Group Practice or individual's line 1 address
Line 2 Street Address	INTERIOR 2
	Group Practice or individual's line 2 address
City	CIDRA
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007393996
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877399898
	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	400004
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ASOCIACION HOSPITAL DEL MAESTRO, INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y