Roberto Polledo

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

CRT62179 Issued in FL

Practice address

8713 SW 147TH PL
Miami, FL 33193-1542

Phone

(786) 252-3148

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033316476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 SW 147TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931542",
            "telephone_number": "786-252-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 SW 147TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931542",
            "telephone_number": "786-252-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEDO",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "FL",
            "license": "CRT62179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Pollack, RPH
• Terri Pollack, ARNP
• Giselle M Pollan Quintero
• Yasnai Pollan
• Daniela Pollato
• Solangel Pollock, MD
• Jessica Lynn Pollow, DO
• Lilian Polo Egana
• Judith Cristina Polo Gonzalez I
• Javier Polo Hernandez

• Radiography Radiologic Technologist in Miami, FL
• Providers in Miami, FL by specialty
• Radiography Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.