Individual
DR. MANUEL R POLANCO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 CALLE GONZALO MARIN, ARECIBO, PR 00612-4703
(787) 879-3352
(787) 880-3016
Mailing address
PO BOX 144035, PMB 453, ARECIBO, PR 00614-4035
(787) 879-3352
(787) 880-3016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8462
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29879
—
PR
Enumeration date
06/08/2006
Last updated
04/03/2014
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