Polyclinic Healthcare LP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

POLYCLINIC HEALTHCARE LP

Practice address

11648 Quail Roost Dr
Miami, FL 33157-6550

Phone

(786) 701-9135

Fax

(786) 592-2874

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tania Medina

Title

Gen PTR

Phone

(786) 701-9135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1184175630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11648 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576550",
            "telephone_number": "786-701-9135",
            "fax_number": "786-592-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11648 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576550",
            "telephone_number": "786-701-9135",
            "fax_number": "786-592-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYCLINIC HEALTHCARE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "GEN PTR",
        "authorized_official_telephone_number": "786-701-9135",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Polster, ARNP
• Otilia Fuentes Poltarack, A.P.
• Sravankumar Reddy Polu, M.D.
• Svetlana Polyak, FNP-BC
• Josue Polycarpe
• Josh W Polydor
• Fanny Polydoroff
• Mita Polynice, CNA
• Wilchel Polynice, RRT
• Daniela Pomar Forero, MD

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.