Active NPI
Yanaig Polo
- General Practice Dentistry
- Miami, FL
National Provider Identifier
1205696309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN30507
- Practice address
- 1475 SW 8TH St Apt 411
Miami, FL 33135-3891 - Phone
- (305) 548-1074
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12918 | TN | |
| General Practice Dentistry | 1223G0001X | DN30507 | FL | Primary |
Addresses
Primary practice location
1475 SW 8TH St Apt 411
Miami, FL 33135-3891
Mailing address
1475 SW 8TH St Apt 411
Miami, FL 33135-3891
Phone (305) 548-1074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30507 | FL | MD | General Practice Dentistry |
| 12918 | TN | MD | General Practice Dentistry |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1205696309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 SW 8TH ST APT 411",
"city": "MIAMI",
"state": "FL",
"postal_code": "331353891",
"telephone_number": "305-548-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 SW 8TH ST APT 411",
"city": "MIAMI",
"state": "FL",
"postal_code": "331353891",
"telephone_number": "305-548-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLO",
"first_name": "YANAIG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12918",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN30507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.