Physician Compare National (NPI:1841252665)

HEALTHCARE PROVIDER: LOURDES NIEVES-VAZQUEZ 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	1841252665
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234324344
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101115001288
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NIEVES VAZQUEZ
	Individual professional last name
Provider First Name	LOURDES
	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	1988
	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
Secondary Specialty 1	PEDIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PEDIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	CARR 167 MARGINAL
	Group Practice or individual's line 1 address
Line 2 Street Address	9 FLAMINGO TERRACE
	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	009609212
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7872790324
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y