Physician Compare National (NPI:1972597557)

HEALTHCARE PROVIDER: MARITZA MARTINEZ VARGAS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972597557
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173428760
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031205000544
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARTINEZ VARGAS
	Individual professional last name
Provider First Name	MARITZA
	Individual professional first name
Provider Gender	F
	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	OTHER
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	143 AVE UNIV INTERAMERICANA
	Group Practice or individual's line 1 address
City	SAN GERMAN
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	006834320
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400021
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOSPITAL DE LA CONCEPCION
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y