Ilianna Polatos-Quintero, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

3293252 Issued in FL

Practice address

17902 NW 81St CT
Hialeah, FL 33015-2847

Phone

(954) 815-9973

NPI assigned

Jul 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1457979494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CORAL RIDGE DR # 107",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763124",
            "telephone_number": "954-815-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17902 NW 81ST CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152847",
            "telephone_number": "954-815-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLATOS-QUINTERO",
        "first_name": "ILIANNA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "3293252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677953196",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.briarpatchgrouphome.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "advertising",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "advertising",
            "address_1": "17902 NW 81st Ct",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330152847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lourdes Pola, PH D PSYCHOLOGIST
• Lauren Polanco Gomez
• Andres Polanco, MA
• Diliana Polanco, LCSW
• Oscar Polanco, BA
• Greyvis Polo Arias
• Yadira Polo, RBT
• Ahmed Jose Pomares Avalos, MS
• Reynier Pomares Castillo, MD
• Cristian Pomares

• Home Health Registered Nurse in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.