Individual provider Active NPI

Fredesvinda Guerrero Polanco

  • General Practice Registered Nurse
  • Guaynabo, PR
National Provider Identifier
1265939227
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
35928 Issued in PR
Practice address
9 Calle Acuarela
Guaynabo, PR 00969-3504
Phone
(787) 708-6323
Fax
(787) 708-6325
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 35928 PR Primary

Addresses

Primary practice location

9 Calle Acuarela
Guaynabo, PR 00969-3504

Mailing address

RR 2 Box 11
San Juan, PR 00926-9767
Phone (787) 760-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35928PRMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1265939227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 11",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269767",
            "telephone_number": "787-760-0222",
            "fax_number": "787-708-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE ACUARELA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693504",
            "telephone_number": "787-708-6323",
            "fax_number": "787-708-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO POLANCO",
        "first_name": "FREDESVINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "35928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.