Gumi Co Polanco, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11141 Issued in PR

Practice address

939 Calle Triguero
Country Club
San Juan, PR 00924-3339

Phone

(787) 450-7185

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gumi.copolanco@4048.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital General de Castaner Inc

  • General Acute Care Hospital
  • Castaner, PR
  • NPI 1760486344
  Medicare reassignment NPD
• Open Care Wellness Center

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Juncos, PR, PR
  • NPI 1891596128

  General Practice

  Medicare reassignment NPD
• Clinica Las Americas Guaynabo, Inc

  dba Salus Guaynabo

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1326096058
  NPD
• Hospital General de Castaner Inc.

  • Federally Qualified Health Center (FQHC)
  • Jayuya, PR
  • NPI 1073040689

  General Practice

  NPD
• Open Care Wellness Center

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Humacao, PR
  • NPI 1346037405

  General Practice

  NPD
• Open Care Wellness Center

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Villalba, PR
  • NPI 1730976705

  General Practice

  NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1841576113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800676",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800676",
            "telephone_number": "787-450-7185",
            "fax_number": "787-813-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CALLE TRIGUERO",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243339",
            "telephone_number": "787-450-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO POLANCO",
        "first_name": "GUMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CMS Home Care Metro, LLC.
• CMT Group, Corp
• CMT Group, Corp (CDT CMT Group)
• CMT Group, Corp
• CMT Group, Corp (CMT Group - Sala de Emergencia)
• Bryan Cobo
• Natalia Margarita Cobos, M.D., M.P.H.
• Cohesively Medical Group LLC
• Roberto Coira, MD
• Colabora LLC

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.

Verify at the official NPI Registry.