Ruben Perez Polo, ARNP | |
5801 Miami Lakes Dr, Miami Lakes, FL 33014-2401 | |
(305) 823-3312 | |
(305) 884-3989 |
Full Name | Ruben Perez Polo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 5801 Miami Lakes Dr, Miami Lakes, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710277413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | ARNP 9383647 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conviva Medical Center Management, Llc | 4284717422 | 346 |
Entity Name | Conviva Medical Center Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Mailing Address | Practice Location Address |
---|---|
Ruben Perez Polo, ARNP 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (305) 823-3312 | Ruben Perez Polo, ARNP 5801 Miami Lakes Dr, Miami Lakes, FL 33014-2401 Ph: (305) 823-3312 |
Jocelyne E Blanco, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6510 Main St Apt 203, Miami Lakes, FL 33014 Phone: 786-203-9182 | |
Priscilla Garcia, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7980 Nw 155th St, Miami Lakes, FL 33016 Phone: 305-418-0392 | |
Aniuska Ponce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Gleneagle Dr, Miami Lakes, FL 33014 Phone: 305-450-6337 | |
Christopher Patino, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 Governors Sq Blvd Ste 201, Miami Lakes, FL 33016 Phone: 305-512-0075 | |
Mr. Luis Manuel Gomez Hernandez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14400 Nw 77th Ct Ste 100, Miami Lakes, FL 33016 Phone: 786-916-6073 Fax: 786-657-3092 | |
Rochelle Patrice Bradley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7942 Nw 164th Ter, Miami Lakes, FL 33016 Phone: 786-564-4092 | |
Yuliza Chao Cuba, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15105 Nw 77th Ave, Miami Lakes, FL 33014 Phone: 305-455-2737 Fax: 305-455-2738 |