Active NPIIndividual providerSole proprietor

Dr. Mario Polo, DMD, MS

Dentist, Orthodontics and Dentofacial Orthopedics in San Juan, Puerto Rico

NPI Number1639214018
Practice location
525 Ave Fd Roosevelt, 702 La Torre De Plaza, San Juan, PR 00918-8001
Fax
787-753-8415
Last updated
July 8, 2007

Mario Polo is a Dentist, Orthodontics and Dentofacial Orthopedics based in San Juan, PR. Mario Polo practices in San Juan, PR and has the professional credentials of DMD, MS. The NPI Number for Mario Polo is 1639214018 and holds a License No. D0806 (PR). The current practice location address for Mario Polo is 525 Ave Fd Roosevelt, 702 La Torre De Plaza, San Juan, PR 00918-8001 and can be reached out via phone at 787-754-7658 and via fax at 787-753-8415.

Provider Profile Details

NPI Number
1639214018
Provider Name
Mario Polo
Credential
DMD, MS
Provider Entity Type
Individual
Gender
Male
Address
525 Ave Fd Roosevelt, 702 La Torre De Plaza, San Juan, PR 00918-8001
Phone Number
787-754-7658
Fax Number
787-753-8415
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Ave Fd Roosevelt
702 La Torre De Plaza
San Juan, PR 00918-8001
Zip
00918-8001
Phone Number
787-754-7658
Fax Number
787-753-8415
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
525 Ave Fd Roosevelt
702 La Torre De Plaza
San Juan, PR 00918-8001
City
San Juan
State
PR
Zip
00918-8001
Phone Number
787-754-7658
Fax Number
787-753-8415

License Information

License Number
D0806
License State
PR
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Mario Polo, DMD, MS?

The NPI number of Dr. Mario Polo, DMD, MS is 1639214018. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mario Polo, DMD, MS?

Dr. Mario Polo, DMD, MS is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in PR under license number D0806.

Where does Dr. Mario Polo, DMD, MS practice?

The practice location is 525 Ave Fd Roosevelt, 702 La Torre De Plaza, San Juan, PR 00918-8001. The office can be reached at 787-754-7658 (phone) or 787-753-8415 (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 1639214018 directly on the NPPES registry website.

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