Physician Compare National (NPI:1942277868)

HEALTHCARE PROVIDER: PEDRO U DE LA ROSA-COSTA 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	1942277868
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557412707
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090629000208
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DE LA ROSA-COSTA
	Individual professional last name
Provider First Name	PEDRO
	Individual professional first name
Provider Middle Name	U
	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	1972
	Individual professional's medical school graduation year
Primary Specialty	MEDICAL ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9350 SW 72 ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 112
	Group Practice or individual's line 2 address
City	MIAMI
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	331733245
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100093
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAPTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ONEIDA HEALTHCARE CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	100209
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	KENDALL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M