Mario Javier Polo Asenjo, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

17,921 Issued in PR

Practice address

Radiologia Asem
Centro Medico de PR, Bo. Monocillos
San Juan, PR 00935

Phone

(787) 777-3535

Fax

(787) 777-3858

NPI assigned

Jul 27, 2009

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of Puerto Rico School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104
• Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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 Menonita Caguas Inc

  dba Grupo Medico Menonita de Caguas

  • Specialist
  • Caguas, PR
  • NPI 1295327625

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883

  Neuroradiology

  Medicare reassignment NPD
• Hospital Menonita Ponce Inc

  dba Grupo Medico Menonita Ponce

  • Specialist
  • Ponce, PR
  • NPI 1336859479

  Diagnostic Radiology

  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  • Diagnostic Radiology Physician
  • Carolina, PR
  • NPI 1033272349
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-(Radiologia-RCM)

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1720166325
  Medicare reassignment NPD
• San Pablo Developers, Inc

  dba Advanced Imaging Interventional Center

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1760478549
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment NPD (past)
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
  • NPI 1871164871
  NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  Diagnostic Radiology

  NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• San Pablo Developers Inc

  dba Advanced Imaging Interventional Center

  • Ambulatory Surgical Clinic/Center
  • Bayamon, PR
  • NPI 1861703464
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Menonita Caguas Inc

  • General Acute Care Hospital
  • Caguas, PR
  • NPI 1003185455
  Care Compare affiliation
• Hospital Menonita Ponce Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1235856253
  Care Compare affiliation

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1902037880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RADIOLOGIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267101",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RADIOLOGIA ASEM",
            "address_2": "CENTRO MEDICO DE PR, BO. MONOCILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO ASENJO",
        "first_name": "MARIO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "N3248",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N3248",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "17,921",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "17,921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirlia L Polanco, MD
• Policlinica Baldorioty
• Policlinica Rio Piedras
• Nicole Marie Polish
• Marthely Pollas
• Luis M Polo, M.D.
• Luis Rafael Polo, MD
• Mario Polo, DMD,MS
• Ana M Pomales Ayala, RN
• Gabriela Cristina Pomales

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.

Verify at the official NPI Registry.