ELADIO A POLANCO (NPI# 1679640619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679640619 |
| Entity Type | Individual |
| Full Name | ELADIO A POLANCO |
| Credential | M.D. |
| Practice Address |
704 Calle Cupido Urb. Venus Gardens San Juan PR 00926-4821 |
| Practice Telephone | 7872831313 |
| Mailing Telephone | 7872831313 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 4835 | PR | Other Service Providers |
| Street Address |
704 CALLE CUPIDO URB. VENUS GARDENS |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00926-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1679180806 | Nicolle Rodriguez Mercado | Occupational Therapist | Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 | 2020-10-01 |
| 1700493616 | Mana Home Associates, Inc | PACE Provider Organization | 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 | 2020-09-24 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1366053811 | Diana Paola Rivera | Psychologist | 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 | 2020-08-10 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1558979427 | Luis Hiram Zayas Martinez | Social Worker | Calle 8 #373 Ext San Agustin, San Juan, PR 00926 | 2020-07-16 |
| Find all providers in zip 00926 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679582415 | Rene Ramirez-ortiz | Medical Genetics, Ph.D. Medical Genetics | 369 Calle De Diego Ste 304, Torre San Francisco, San Juan, PR 00923-3004 | 2006-08-07 |
| 1154363034 | Maria-del-carmen Gonzalez-rios | Medical Genetics, Ph.D. Medical Genetics | 915 Calle 13 Sw, Caparra Terrace, San Juan, PR 00921-2016 | 2006-06-12 |
| 1306812219 | Teodoro Mayo | Medical Genetics, Ph.D. Medical Genetics | 652 Ave Munoz Rivera, Suite 3140, San Juan, PR 00918-4257 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508069261 | Miguel Robledo | Medical Genetics, Ph.D. Medical Genetics | Po Box 51991, Toa Baja, PR 00950-1991 | 2007-06-08 |
| 1609077098 | Nilka Cordero Rivera | Medical Genetics, Ph.D. Medical Genetics | G13 Calle Bohio, Caguas, PR 00725-3310 | 2007-05-31 |
| 1518178029 | Luis A. Aponte | Medical Genetics, Ph.D. Medical Genetics | 105 Calle M, Aguadilla, PR 00603-1403 | 2007-05-25 |
| 1568677201 | Waleska Socorro Pabon | Medical Genetics, Ph.D. Medical Genetics | 3 Villa Rosa, B9, Guayama, PR 00784-6408 | 2007-05-14 |
| 1881818003 | Grupo Medico Familiar | Medical Genetics, Ph.D. Medical Genetics | Hc 5 Box 93480, Arecibo, PR 00612-9568 | 2007-04-11 |
| 1992928758 | Marta Ruiz | Medical Genetics, Ph.D. Medical Genetics | 2 Vereda Del Rio, Urb, Bayamon, PR 00959-8904 | 2007-04-10 |
| 1457481798 | Francisco Franqui | Medical Genetics, Ph.D. Medical Genetics | 27 Calle San Melchor, Urb. San Ignacio, Rio Piedras, PR 00927-6803 | 2007-03-06 |
| 1669542486 | Lucas Jorge Riossantoni | Medical Genetics, Ph.D. Medical Genetics | 12 Calle Yaguer, Guanica, PR 00653-2533 | 2006-11-09 |
| 1285734756 | Aida M Sanchez | Medical Genetics, Ph.D. Medical Genetics | Ave Severiano Cuevas #18, Area Oficina Privades, Aguadilla, PR 00603 | 2006-09-25 |
| 1003920711 | Maria Santiago-marquez | Medical Genetics, Ph.D. Medical Genetics | 69 Calle Un E, Fajardo, PR 00738-4759 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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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.