Active NPI
Dalvert H Polanco, MD
- Internal Medicine Physician
- New Orleans, LA
National Provider Identifier
1023637493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 346419
- Practice address
- 2000 Canal St
New Orleans, LA 70112-3018 - Phone
- (504) 702-3000
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | P101496 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 37121-R | PR | |
| Internal Medicine Physician | 207R00000X | 346419 | LA | Primary |
Addresses
Primary practice location
2000 Canal St
New Orleans, LA 70112-3018
Mailing address
2000 Canal St
New Orleans, LA 70112-3018
Other practice location 1
100 Ave Laurel
Bayamon, PR 00956-4816
Phone (787) 787-5151
Other practice location 2
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272
Other names 1
- Dr. Dalvert Hugo Polanco Troncoso
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502003175 | LA | Order and Referring Only - Internal Medicine | 4789101718 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P101496 | NY | MD | General Practice Physician |
| 37121-R | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1023637493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701123018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701123018",
"telephone_number": "504-702-3000"
}
],
"practiceLocations": [
{
"address_1": "100 Ave Laurel",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "009564816",
"country_code": "US",
"telephone_number": "787-787-5151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "374 Stockholm St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374006",
"country_code": "US",
"telephone_number": "718-963-7272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLANCO",
"first_name": "DALVERT",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "P101496",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "37121-R",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "346419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DALVERT",
"last_name": "POLANCO TRONCOSO",
"middle_name": "HUGO",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.