Esthermari Gonzalez Polanco, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

022479 Issued in PR

Practice address

Carretera #2 , KM.11.7
Bayamon, PR 00959

Phone

(787) 474-8282

NPI assigned

May 6, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: esthermari.gonzalezpolanco.p1@direct.vitacare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eg Peds Gastro

  • Pediatric Gastroenterology Physician
  • Bayamon, PR
  • NPI 1700500063

  Single Specialty

  NPD Authorized official
• Metrohealth, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1275580763

  Single Specialty

  NPD (past)
• San Francisco Health System Inc

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1598798811

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1083060255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193307",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193307",
            "telephone_number": "787-407-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #2 , KM.11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-474-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ POLANCO",
        "first_name": "ESTHERMARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "022479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wigberto Josue Gonzalez Martinez, MD,MPH
• Edgardo Gonzalez Morales, M.D.
• Maria De Los a. Gonzalez Morales, PSY M.
• Katiushka Gonzalez Moro
• Wanda I Gonzalez Otero
• Lisandra Gonzalez Ramos, PSYD
• Francis M Gonzalez Reyes, PSY.D
• Isamar Gonzalez Rivera, MS-SLP
• Rosbel Gonzalez Rivera, MD
• Isuanet Gonzalez Rodriguez, MD

• Pediatric Gastroenterology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatric Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.