Doctor profile · Federal record
Dr. Mario Polo, DMD,MS
Orthodontics and Dentofacial Orthopedic Dentist · San Juan, PR
- NPI 1639214018
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
525 Ave Fd Roosevelt, 702 la Torre de Plaza
San Juan, PR 009188001
(787) 754-7658
fax (787) 753-8415
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Puerto Rico #D0806
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639214018. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| REVANCE THERAPEUTICS, INC. | 1 | $25.19 |
By nature of payment
Frequently asked questions
What is Dr. Mario Polo's medical specialty?
Dr. Mario Polo practices Orthodontics and Dentofacial Orthopedic Dentist in San Juan, PR.
Where does Dr. Mario Polo practice?
Dr. Mario Polo practices at 525 Ave Fd Roosevelt, San Juan, PR 009188001. Office phone: 7877547658.
What is Dr. Mario Polo's NPI?
Dr. Mario Polo's National Provider Identifier (NPI) is 1639214018, issued by NPPES.