Physician Compare National (NPI:1952536237)

HEALTHCARE PROVIDER: DAMARIS ACOSTA-MIRANDA 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	1952536237
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577873744
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151030002086
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ACOSTA MIRANDA
	Individual professional last name
Provider First Name	DAMARIS
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	B5 CALLE SANTA CRUZ
	Group Practice or individual's line 1 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009616902
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7879304845
	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	400016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	AUXILIO MUTUO HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y