Physician Compare National (NPI:1881079150)

HEALTHCARE PROVIDER: EURI DE JESUS FERNANDEZ NUNEZ SR. 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	1881079150
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567739071
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170602002275
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FERNANDEZ NUNEZ
	Individual professional last name
Provider First Name	EURI
	Individual professional first name
Provider Middle Name	J
	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	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	371 AVE DE DIEGO
	Group Practice or individual's line 1 address
City	SAN JUAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009091711
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7875195528
	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	400006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTOR'S CENTER DE SAN JUAN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	400098
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HOSPITAL SAN FRANCISCO
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M