Polyclinic Healthcare Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC10793 Issued in FL

Legal business name

POLYCLINIC HEALTHCARE CORP

Practice address

10800 NW 58TH St
Doral, FL 33178

Phone

(305) 640-5678

NPI assigned

Aug 20, 2018

Last updated

Aug 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Veronica Milagros Ramos

Title

President

Phone

(305) 922-5957

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1700366622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782854",
            "telephone_number": "305-640-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 NW 58TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "305-640-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYCLINIC HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-922-5957",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC10793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanet Polanco Rodriguez
• Aide Rose Polanco, SPEECH-LANGUAGE PATH
• Joel Luis Polanco, NP-C
• Maira C. Polanco, BS
• Samantha Polo
• Jordan J Pomares Benitez
• Maria Clara Pombo, DDS
• Ponce Medical
• Ponce Services Corporation Inc
• Juan C Ponce, APRN, PMHNP-BC

• Family Medicine Physician in Doral, FL
• Providers in Doral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.