Mayra Ivelisse Cruz Polanco, M.D
NPI #1194913012 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1194913012
- Entity Type
- Individual
- Name
- Mayra Ivelisse Cruz Polanco, M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D
- Enumeration Date
- Oct 4, 2007
- Last Updated
- Nov 26, 2008
Practice Location
- Address
- 545A CENTRE ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-2061
- Phone
- (617) 522-5464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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