DR. IRIS MIGDALIA WILSON POLANCO (NPI# 1366050361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366050361 |
| Entity Type | Individual |
| Full Name | DR. IRIS MIGDALIA WILSON POLANCO |
| Credential | MD |
| Practice Address |
Calle Genaro Cautino 86 Oeste Guayama PR 00784 |
| Mailing Address |
86 Calle Genaro Cautino W Guayama PR 00784-4736 |
| Practice Telephone | 7876341194 |
| Mailing Telephone | 7876341194 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 21972 | PR | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 15150 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
CALLE GENARO CAUTINO 86 OESTE |
| City | GUAYAMA |
| State | PR |
| Zip Code | 00784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281121 | Omar Gabriel Caro Feliz | General Practice | Urb Paseos Brisas Del Mar F 7, Guayama, PR 00784 | 2020-10-08 |
| 1619584471 | Domingo Luis Acosta Pacheco | Social Worker | Urb. El Dorado Calle Jazmin A6-a7, Guayama, PR 00784 | 2020-09-25 |
| 1215543277 | Harold William Bastian Vega | General Practice | El Legado Golf Resort, Apt.424, Guayama, PR 00784 | 2020-09-16 |
| 1326654328 | Jeymi Lee Gomez | Social Worker | Barrio Corazon Calle Candelaria 568, Guayama, PR 00784 | 2020-09-16 |
| 1023623774 | Maria A Torres | Social Worker | Hera #3, Monte Olivo, Guayama, PR 00784 | 2020-09-10 |
| 1710597885 | Edgar Nicolas Colon De-jesus | Physician Assistant | Bo Olimpo C3 Num 732, Guayama, PR 00784 | 2020-08-04 |
| 1376153684 | Pupila Optical LLC | Optometrist | El Molino Shopping Center Expreso Pr 54, Km 0.8, B11, Guayama, PR 00784 | 2020-08-03 |
| 1598383713 | Pedro N Cadiz Miranda | General Practice | Urb El Dorado Calle Magnolia B7, Guayama, PR 00784 | 2020-07-14 |
| 1659995439 | Asia Elizabeth Delgado Lorenzo | Physician Assistant | #128 Ave. Ashford, Edif. Ashford Medical Plaza, Suite 201, Guayama, PR 00784 | 2020-06-08 |
| 1134741101 | Omayra Caballero | Physician Assistant | Urb Rexmanor Calle 3 B8, Guayama, PR 00784 | 2020-05-13 |
| Find all providers in zip 00784 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281121 | Omar Gabriel Caro Feliz | General Practice | Urb Paseos Brisas Del Mar F 7, Guayama, PR 00784 | 2020-10-08 |
| 1427665009 | Carlos Armando Alejandro | General Practice | Calle Ashford 84 Sur, Guayama, PR 00784-0001 | 2020-09-28 |
| 1629684733 | Juan A Medina Ruiz Sr. | General Practice | Condominio Guamani Gardens Carr 179 H.0 Barrio Guamani, Apt 7, Guayama, PR 00784-0000 | 2020-09-23 |
| 1215543277 | Harold William Bastian Vega | General Practice | El Legado Golf Resort, Apt.424, Guayama, PR 00784 | 2020-09-16 |
| 1598383713 | Pedro N Cadiz Miranda | General Practice | Urb El Dorado Calle Magnolia B7, Guayama, PR 00784 | 2020-07-14 |
| 1932728557 | Gabriel Carlos Ortiz Rivera | General Practice | Urb Monte Mar Acapulco 3, Guayama, PR 00785-0078 | 2020-04-14 |
| 1063058055 | Alex Ramon Sola Alicea | General Practice | Urb. La Hacienda Calle 53, Am 15, Guayama, PR 00784 | 2019-11-25 |
| 1558907691 | Liz Marie Ortiz Lopez | General Practice | Urb. Jardines De Monte Olivo, # 1 Calle Hera, Guayama, PR 00784 | 2019-11-25 |
| 1417514365 | Raul Del Valle Arroyo | General Practice | 110 Calle Luis Venegas N, Guayama, PR 00784-4344 | 2019-05-28 |
| 1386106334 | Mario R Fernandez Gonzalez | General Practice | 80 Calle 3 Sur, Guayama, PR 00784 | 2019-04-01 |
| Find all providers in GUAYAMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.