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1003046806

NPI Code Detail

MEDICARE: EDUARDO N. POLLONO MD

MEDICARE: EDUARDO N. POLLONO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD2014-0877	NM
2	207RC0000X	Cardiovascular Disease Physician	R6653	TX
3	207R00000X	Internal Medicine Physician	MD2014-0877	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD2014-0877	OTHER	NM	NM LICENSE

General Provider Information

NPI Number	:	1003046806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO N. POLLONO MD

Provider Business Mailing Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4402
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:	210-567-6960

Provider Business Practice Location Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4402
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:	210-567-6960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2009
Last Update Date	:	02/11/2026

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Directions to “ EDUARDO N. POLLONO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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