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NPI Code Detail

MEDICARE: NATALIA D BURGOS POLANCO

MEDICARE:   NATALIA D BURGOS POLANCO
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician023055PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548688476
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA D BURGOS POLANCO
Provider Business Mailing Address
First Line : 70 PRINCIPE RAINIERO
Second Line : ESTANCIAS REALES
City : GUAYNABO
State : PR
Zip : 00969
Country : US
Telephone Number : 787-949-0243
Fax Number :
Provider Business Practice Location Address
First Line : 716 AVE PONCE DE LEON STE 203
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-4510
Country : US
Telephone Number : 787-767-6455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 11/12/2025

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Directions to “ NATALIA D BURGOS POLANCO ” Practice Location

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