Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mayra Ivelisse Cruz Polanco, MD

Individual provider Internal Medicine Physician · NPI 1194913012

Mayra Ivelisse Cruz Polanco, MD is an Internal Medicine in Jamaica Plain, Massachusetts. Qualified in 1993, 33 years ago. Practices with Beth Israel Deaconess Medical Center Inc, a 139-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
33
Licensed in
MA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

545A Centre St
Jamaica Plain, MA 02130-2061
Phone: (617) 522-5464
Fax: (617) 524-2966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 235402 (MA)

Record details

NPI number1194913012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2007
Last updated in NPPESNovember 26, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Beth Israel Deaconess Medical Center Inc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Jamaica Plain