Active NPI
Lucia A Polanco
- Specialist
- Kissimmee, FL
National Provider Identifier
1487988374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 389644031
- Practice address
- 4518 Ross Lanier LN
Kissimmee, FL 34758-2135 - Phone
- (347) 399-9312
- NPI assigned
- Sep 24, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 389644031 | NY | Primary |
Addresses
Primary practice location
4518 Ross Lanier LN
Kissimmee, FL 34758-2135
Mailing address
4518 Ross Lanier LN
Kissimmee, FL 34758-2135
Phone (347) 399-9312
Other names 1
- Lucia Perez
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 |
|---|---|---|---|
| 389644031 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1487988374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4518 ROSS LANIER LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347582135",
"telephone_number": "347-399-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4518 ROSS LANIER LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347582135",
"telephone_number": "347-399-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO",
"first_name": "LUCIA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "389644031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCIA",
"last_name": "PEREZ",
"credential": "SPECIAL EDUCATOR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.