Mayra I Cruz Polanco, MD
Internal Medicine in Jamaica Plain, Massachusetts
1194913012- Practice location
- 545A Centre St, Jamaica Plain, MA 02130-2061
- Phone
- 617-522-5464
- Fax
- 617-524-2966
- Last updated
- November 26, 2008
Mayra Ivelisse Cruz Polanco is an Internal Medicine based in Jamaica Plain, MA. Mayra Ivelisse Cruz Polanco practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Mayra Ivelisse Cruz Polanco is 1194913012 and holds a License No. 235402 (MA). The current practice location address for Mayra Ivelisse Cruz Polanco is 545A Centre St, Jamaica Plain, MA 02130-2061 and can be reached out via phone at 617-522-5464 and via fax at 617-524-2966.
Provider Profile Details
- NPI Number
- 1194913012
- Provider Name
- Mayra Ivelisse Cruz Polanco
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 545A Centre St, Jamaica Plain, MA 02130-2061
- Phone Number
- 617-522-5464
- Fax Number
- 617-524-2966
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2007
- Last Update Date
- November 26, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 545A Centre St
Jamaica Plain, MA 02130-2061 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2061
- Phone Number
- 617-522-5464
- Fax Number
- 617-524-2966
Provider Business Mailing Address Details
- Address
- 545A Centre St
Jamaica Plain, MA 02130-2061 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2061
- Phone Number
- 617-522-5464
- Fax Number
- 617-524-2966
License Information
- License Number
- 235402
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mayra I Cruz Polanco, MD?
The NPI number of Mayra I Cruz Polanco, MD is 1194913012. It was assigned on October 4, 2007 and is currently active in the NPPES registry.
What is the specialty of Mayra I Cruz Polanco, MD?
Mayra I Cruz Polanco, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 235402.
Where does Mayra I Cruz Polanco, MD practice?
The practice location is 545A Centre St, Jamaica Plain, MA 02130-2061. The office can be reached at 617-522-5464 (phone) or 617-524-2966 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194913012 directly on the NPPES registry website.