Active NPI
Emmanuel Polanco
- Taxi
- Wimauma, FL
National Provider Identifier
1467167148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- Practice address
- 5013 Sable Chime Dr
Wimauma, FL 33598-4171 - Phone
- (347) 821-2930
- NPI assigned
- Jan 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | FL | Primary |
Addresses
Primary practice location
5013 Sable Chime Dr
Wimauma, FL 33598-4171
Mailing address
5013 Sable Chime Dr
Wimauma, FL 33598-4171
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674345600000",
"number": "1467167148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 SABLE CHIME DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335984171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5013 SABLE CHIME DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335984171",
"telephone_number": "347-821-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO",
"first_name": "EMMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-22",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wimauma, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.