Provider Demographics
NPI:1659377406
Name:POLA RODRIGUEZ, HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:
Last Name:POLA RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:F-8 CALLE GENOVA
Mailing Address - Street 2:EXT. VILLA CAPARRA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1727
Mailing Address - Country:US
Mailing Address - Phone:787-535-1124
Mailing Address - Fax:787-738-8323
Practice Address - Street 1:SECTOR RINCON LOMAS CARR. 14 KM. 72.2
Practice Address - Street 2:EDIFICIO PROFESIONAL DOMINGO TORRES ZAYAS SUITE 201
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-0000
Practice Address - Country:US
Practice Address - Phone:787-535-1124
Practice Address - Fax:787-535-1123
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8735207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR600763OtherMMM PROVIDER
PR8-1449OtherMEDICARE PIN
PR5604OtherPMC PROVIDER
PR3-8735OtherCIGNA PROVIDER
PR8-1449POOtherTRIPLE S PROVIDER
PRM-00165OtherPLAN DE SALUD MENONITA
PR620049OtherHUMANA PROVIDER
PR8-1449OtherMEDICARE PIN