Active NPI
Luisa Bozzo-Polanco, CNM, ARNP
- Advanced Practice Midwife
- Miami, FL
National Provider Identifier
1689860314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP 2523572
- Practice address
- 11760 SW 40TH St Ste 518
Miami, FL 33175-3598 - Phone
- (305) 553-2888
- Fax
- (305) 553-0291
- NPI assigned
- Sep 17, 2007
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | ARNP 2523572 | FL | Primary |
Addresses
Primary practice location
11760 SW 40TH St Ste 518
Miami, FL 33175-3598
Mailing address
11760 SW 40 St #518
Miami, FL 33175-3598
Phone (305) 553-2888
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2523572 | FL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1689860314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 SW 40 ST #518",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753598",
"telephone_number": "305-553-2888",
"fax_number": "305-553-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 SW 40TH ST STE 518",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753598",
"telephone_number": "305-553-2888",
"fax_number": "305-553-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZZO-POLANCO",
"first_name": "LUISA",
"name_prefix": "Mrs.",
"credential": "CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP 2523572",
"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 Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.