Yanitzmarie Polanco Jordan, MS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

9135 Issued in PR

Practice address

G24 Calle Principal
Fajardo, PR 00738-3774

Phone

(919) 348-2717

NPI assigned

Oct 3, 2026

Last updated

Oct 3, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1811891021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE CANELA",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007354010",
            "telephone_number": "919-397-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G24 CALLE PRINCIPAL",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383774",
            "telephone_number": "919-348-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO JORDAN",
        "first_name": "YANITZMARIE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "9135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Efrain Pimentel
• Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM
• Luis Enrique Pita, D.M.D.
• Danalys Pizarro Pagan
• PMC Marketing Corp (Farmacia El Amal # 66)
• Vicamarie Pomales Pomales, RN
• Premier Med Inc
• Premium Medical Supply & Equipment Inc
• Professional Optical Center
• Pure Health & Pos Energy LLC

• School Psychologist in Fajardo, PR
• Providers in Fajardo, PR by specialty
• School Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.