Individual provider Active NPI

Dania Josefina Polanco-Hiraldo, RRT

  • Registered Respiratory Therapist
  • Hinesville, GA
National Provider Identifier
1710627708
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
7123 Issued in GA
Practice address
462 Elma G Miles Pkwy
Hinesville, GA 31313-4000
Phone
(912) 369-9457
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 227900000X 7123 GA Primary

Addresses

Primary practice location

462 Elma G Miles Pkwy
Hinesville, GA 31313-4000

Mailing address

50 Mount Vernon Ter
Ludowici, GA 31316-0020
Phone (912) 261-2695

Other names 1

  • Mrs. Dania Josefina Polanco-Rodriguez Other name

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

LicenseStateTypeSpecialty
7123GAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1710627708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOUNT VERNON TER",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "313160020",
            "telephone_number": "912-261-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ELMA G MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-369-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO-HIRALDO",
        "first_name": "DANIA",
        "middle_name": "JOSEFINA",
        "name_prefix": "Mrs.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "GA",
            "license": "7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIA",
            "last_name": "POLANCO-RODRIGUEZ",
            "middle_name": "JOSEFINA",
            "prefix": "MRS.",
            "credential": "RRT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.