Jossepp Berry-Polanco, MD
Individual provider Active NPI General Practice Physician · Carolina, PR
NPI 1831185271 · NPPES record last updated Feb 25, 2010
Key facts
- NPI
- 1831185271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 7962 (PR)
- Practice address
- Ave Sanchez Osorio 2Tr511
Villa Fontana
Carolina, PR 00983-3226 - Phone
- (787) 757-8065
- Fax
- (787) 768-8392
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031112000027 | PR | Practitioner - General Practice | 8224941570 | Practice locations: Carolina, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7962 | PR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ges de San Juan, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7962 | PR | Yes |
Addresses
Primary practice location
Ave Sanchez Osorio 2Tr511
Villa Fontana
Carolina, PR 00983-3226
Mailing address
Bloque 31 Calle 31 # 8
Villa Asturias
Carolina, PR 00985-5755
Phone (787) 529-5093
Other providers in Carolina, PR
- Jaclismar Berrios-Rivera
- Angel Berrios
- Heidi Rosa Berrios
- Idenisse M Berrios
- Dania Berroa
- Best Dental Care Corp
- Best Medical Ambulance Inc
- Best X-Ray Quality, PSC
- Beta Lab
- Luis Enrique Betances Rahola
All providers in Carolina, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.