Roger Polish P.S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

15803 Issued in PR

Legal business name

ROGER POLISH P.S.C.

Practice address

66 Calle Santa Cruz
Instituto San Pablo, Suite 502
Bayamon, PR 00961-7041

Phone

(787) 778-0632

Fax

(787) 778-3720

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Roger David Polish, MDNPI 1528047339

Title

Gastroenterologist

Phone

(787) 778-0632

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger David Polish, M.D.

  • Gastroenterology Physician
  • Bayamon, PR
  • NPI 1528047339
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1083863344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE LUIS VIGOREAUX",
            "address_2": "PMB 351",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-778-0632",
            "fax_number": "787-778-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ",
            "address_2": "INSTITUTO SAN PABLO, SUITE 502",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-778-0632",
            "fax_number": "787-778-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER POLISH P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "POLISH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "GASTROENTEROLOGIST",
        "authorized_official_telephone_number": "787-778-0632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "15803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vimarie Rodriguez
• Viviana Rodriguez
• Wilfredo Rodriguez, M.D.
• Yolanda Rodriguez, D.D.S.
• Felicita Rodriquez-Rosario, M.D.
• Annyd Rojas Castro, MD
• Jose Anibal Rojas Nieves, PHARM D.
• Suheimy Rojas Nieves
• Migdalia Roldan, RPH
• Jesus Esteban Rolon Pagan III, DC

• Medical Specialty Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.