Active NPI
Yitssy Ramos Polo, APRN
- Family Medicine Physician
- Miami Lakes, FL
National Provider Identifier
1922824754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN11036600
- Practice address
- 6600 Cow Pen Rd Ste 100
Miami Lakes, FL 33014-7618 - Phone
- (786) 453-9803
- NPI assigned
- Nov 26, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN11036600 | FL | Primary |
Addresses
Primary practice location
6600 Cow Pen Rd Ste 100
Miami Lakes, FL 33014-7618
Mailing address
8306 NW 143Rd Ter
Miami Lakes, FL 33016-5738
Phone (305) 549-4678
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11036600 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1922824754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8306 NW 143RD TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165738",
"telephone_number": "305-549-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 COW PEN RD STE 100",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330147618",
"telephone_number": "786-453-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS POLO",
"first_name": "YITSSY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-26",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11036600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.