Individual
GUMI CO POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
939 CALLE TRIGUERO, COUNTRY CLUB, SAN JUAN, PR 00924-3339
(787) 450-7185
Mailing address
PO BOX 800676, COTO LAUREL, PR 00780-0676
(787) 450-7185
(787) 813-1512
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11141
PR
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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