Marisel Rivera-Polanco

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS40398 Issued in FL

Practice address

9047 Curry Ford Rd
Orlando, FL 32825-7604

Phone

(407) 845-6530

Fax

(407) 845-6529

NPI assigned

Nov 6, 2019

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Pharmacy
  • Orlando, FL
  • NPI 1093161424
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1942844584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14818 FAVERSHAM CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264106",
            "telephone_number": "407-405-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257604",
            "telephone_number": "407-845-6530",
            "fax_number": "407-845-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-POLANCO",
        "first_name": "MARISEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Angelica Rivera-Mejias, PHYSICAL THERAPIST
• Tania Rivera-Navarro
• Glenda Rivera-Negron
• Dennisse Rivera-Otero
• Francisco Jose Rivera-Palacios, M.D.
• Selys Yalexi Rivera-Reyes, B.A.
• Andrea Victoria Rivera-Sepulveda, M.D.
• Natalia Ivelisse Rivera-Smith, BA, MASJ, JD
• Michelle Y. Rivera-Vega, M.D.
• Nicole Rivera-Wynter, CRNA

• Pharmacist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.