Active NPI
Vanessa Reyes Polanco
- General Practice Physician
- Caguas, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15968
- Practice address
- Luis Munos Marin Av. 4980
Caguas, PR 00726 - Phone
- (787) 653-3434
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15968 | PR | Primary |
Addresses
Primary practice location
Luis Munos Marin Av. 4980
Caguas, PR 00726
Mailing address
St. 5 H 20 Urb. Teresita
Bayamon, PR 00961
Phone (787) 459-2199
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Marginal Santa Cruz
17 Urb Santa Cruz
Bayamon, PR 00961-6706
Phone (787) 780-1273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Foundation of Puerto Rico, Inc. | Current | Accepting new patients | |
| CDT GMSP, Inc | Current | Accepting new patients | |
| Community Health Foundation of Puerto Rico, Inc. | General Practice | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Cooperativa de Facultad Medica Sanacoop | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | General Practice | Current | Accepting new patients |
| CDT GMSP Inc | Current | Accepting new patients | |
| CDT G.M,S.P., Inc | General Practice | Current | Accepting new patients |
Locations
B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
Organizations & group practices 8
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)
- Bayamon, PR
- NPI 1881016020
General Practice
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1417922972
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
General Practice
-
- Health Service Clinic/Center
- Bayamon, PR
- NPI 1942638655
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1255187159
General Practice
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1790750529
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayamon, PR
- NPI 1114626991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1306819446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. 5 H 20 URB. TERESITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-459-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LUIS MUNOS MARIN AV. 4980",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-653-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES POLANCO",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.