Jorge L Perez Polanco MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME94246 Issued in FL

Legal business name

JORGE L PEREZ POLANCO MD INC

Practice address

119 Oakfield Dr
Brandon, FL 33511-5779

Phone

(239) 677-0323

Fax

(813) 600-3416

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jorge L Perez, MD

Title

Owner

Phone

(239) 677-0323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Michele Damato, FNP-C, PMHNP-BC

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1285065060
  Medicare reassignment NPD
• Jorge L Perez Polanco, MD

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1538158761
  Medicare reassignment NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1891058707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495009",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495009",
            "telephone_number": "239-677-0323",
            "fax_number": "813-600-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "239-677-0323",
            "fax_number": "813-600-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L PEREZ POLANCO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-677-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ZW Jones Jr., PMHNP
• Jordan Heath Lambert, LLC
• Patricia Jordan-Gonzalez, MD
• Anita Jordan
• Jordyn Healthcare Services
• Jose a. Berrios, MD PA
• Jose R Prieto MD PA
• Jose R Prieto MD PA
• Josy Jose
• Jyothis Jose

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.