Reynol Ramon Polanco Soriano, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1108762 Issued in TX

Practice address

5724 Chimney Rock Rd
Houston, TX 77081-2713

Phone

(713) 505-1077

NPI assigned

Jan 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CH Stafford LLC

  dba Clinica Universo Latino

  • Family Nurse Practitioner
  • Stafford, TX
  • NPI 1467335463
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1508572983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20711 CACTUS LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071666",
            "telephone_number": "832-875-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812713",
            "telephone_number": "713-505-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO SORIANO",
        "first_name": "REYNOL",
        "middle_name": "RAMON",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Point's Preeminent Health Care, LCC
• Megan Poirier, PT, DPT
• Margaux Poizat, CRNA
• Hari P Pokala, M.D.
• Amanda Polacco, OD
• Randy Nelson Polancorodriguez
• Candice Rachel Poland, MS, RD, LD
• Jazel Leah Poland
• Maura N. Polansky, PA-C
• Polaris Health System, Inc.

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.