# ROGER POLISH P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083863344
- **Authorized official:** ROGER DAVID POLISH MD (GASTROENTEROLOGIST)
- **Authorized official phone:** (787) 778-0632

## Contact information

- **Practice address:** 66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO, SUITE 502, BAYAMON, PR 00961-7041
- **Practice address phone:** (787) 778-0632
- **Practice address fax:** (787) 778-3720
- **Mailing address:** 1353 AVE LUIS VIGOREAUX, PMB 351, GUAYNABO, PR 00966-2715
- **Mailing address phone:** (787) 778-0632
- **Mailing address fax:** (787) 778-3720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 15803 | PR | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/11/2008