| Doctor Name: | DR. VIRGILIO ARITIDY POLONIO |
| NPI Number: | 1083739510 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10424 |
| Business Practice Address: | Pedro Velazquez Diaz 628 Suite A 4 Penuelas, PR - 00624 |
| Business Phone Number: | 7879287141 |
| Business Fax Number: | 7877094687 |
| Mailing Address: | Po Box 543, PENUELAS |
| State: | PR |
| Postal Code: | 006240543 |
| Phone Number: | 7878363409 |
| Fax Number: | 7878362176 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |