Active NPI
Juan A Tosado Polanco, MD
- Obstetrics Physician
- Guayama, PR
National Provider Identifier
1285715326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 13906
- Practice address
- Urb la Hacienda Avenida Albizu Campos
Hospital Menonita Suite 209
Guayama, PR 00784 - Phone
- (787) 866-5010
- Fax
- (787) 866-5010
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 13906 | PR | Primary |
Addresses
Primary practice location
Urb la Hacienda Avenida Albizu Campos
Hospital Menonita Suite 209
Guayama, PR 00784
Mailing address
15408 Calle Flamboyan
Urb. Paseos de Jacaranda
Santa Isabel, PR 00757-9621
Phone (787) 559-7119
Other practice location 1
15408 Calle Flamboyan
Urb. Paseos de Jacaranda
Santa Isabel, PR 00757-9621
Phone (787) 559-7119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13906 | PR | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Servicios Primarios de Salud de Patillas Inc.-Maunabo | Current | Accepting new patients | |
| Centro de Servicios Primarios de Salud de Patillas Inc. | Current | Accepting new patients | |
| Centro Servicios Primarios de Salud de Patillas Inc. | Current | Accepting new patients | |
| Hospital Menonita Guayama Inc | Past | Accepting new patients |
Interoperability endpoints
- juan.tosado@cspsp.directbygreenway.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Patillas, PR
- NPI 1275539728
-
- Health Service Clinic/Center
- Salinas, PR
- NPI 1154070365
-
- Federally Qualified Health Center (FQHC)
- Maunabo, PR
- NPI 1679981047
-
- Critical Access Hospital
- Guayama, PR
- NPI 1639696289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1285715326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15408 CALLE FLAMBOYAN",
"address_2": "URB. PASEOS DE JACARANDA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007579621",
"telephone_number": "787-559-7119",
"fax_number": "787-845-6958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB LA HACIENDA AVENIDA ALBIZU CAMPOS",
"address_2": "HOSPITAL MENONITA SUITE 209",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-866-5010",
"fax_number": "787-866-5010"
}
],
"practiceLocations": [
{
"address_1": "15408 Calle Flamboyan",
"address_2": "Urb. Paseos de Jacaranda",
"address_purpose": "LOCATION",
"city": "Santa Isabel",
"state": "PR",
"postal_code": "007579621",
"country_code": "US",
"telephone_number": "787-559-7119",
"fax_number": "787-845-6958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOSADO POLANCO",
"first_name": "JUAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "PR",
"license": "13906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.