Lirio S. Polintan MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

24270 Issued in CO

Legal business name

LIRIO S. POLINTAN MD PC

Practice address

1600 N Grand Ave Ste 345
Pueblo, CO 81003-2762

Phone

(171) 954-5055

Fax

(719) 545-2945

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Lirio S Polintan, M.D.

Title

President

Phone

(719) 545-0552

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1528364064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE STE 345",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032762",
            "telephone_number": "171-954-5055",
            "fax_number": "719-545-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE STE 345",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032762",
            "telephone_number": "171-954-5055",
            "fax_number": "719-545-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIRIO S. POLINTAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "POLINTAN",
        "authorized_official_first_name": "LIRIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-545-0552",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "24270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01242700",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "COA103943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Gastroenterology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.