Healthcare Provider Details

I. General information

NPI: 1861307753
Provider Name (Legal Business Name): ALANIS PAOLA POLANCO TAPIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LOMAS DE MAUNATABON CALLE GUAMANI, HOUSE 42
MANATI PR
00674
US

IV. Provider business mailing address

URB. LOMAS DE MAUNATABON CALLE GUAMANI, HOUSE 42
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 787-306-2564
  • Fax:
Mailing address:
  • Phone: 787-306-2564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: