EDNA LORENA POLO (NPI# 1255926184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255926184 |
Entity Type | Individual |
Full Name | EDNA LORENA POLO |
Gender | Female |
Credential | RDH |
Practice Address | 5607 Nw 27th Ave Ste 2 Miami FL 33142-2826 |
Practice Telephone | 3058051700 |
Mailing Address | 5607 Nw 27th Ave Ste 1 Miami FL 33142-2826 |
Mailing Telephone | 3058051700 |
Mailing Fax Number | 3058051715 |
Certification Date | 2021-03-03 |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH26465 | FL | Dental Providers |
Identifier | State | Issuer | Type Code |
---|---|---|---|
DH26465 | FL | STATE LICENSE | Other |
Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
---|---|---|---|---|---|
Other URL | GREENWAY (EHR) | 5607 Nw 27th Ave Ste 2, Miami, FL 331422826 | Health Information Exchange (HIE) | Other Intergy |
Street Address | 5607 NW 27TH AVE STE 2 |
City | MIAMI |
State | FL |
Zip Code | 33142-2826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386200053 | Dana Walker | Student in an Organized Health Care Education/Training Program | 5607 Nw 27th Ave Ste 2, Miami, FL 33142-2826 | 2019-05-17 |
1053837781 | Chantel Tanya Burnette | Dental Hygienist | 5607 Nw 27th Ave Ste 2, Miami, FL 33142-2826 | 2017-08-15 |
1760645550 | Jessie Trice Community Health System Inc · Jessie Trice Community Health Center Inc | Clinic/Center · Federally Qualified Health Center (FQHC) | 5607 Nw 27th Ave Ste 2, Miami, FL 33142-2826 | 2008-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346831245 | Deja Victoria Powell | Counselor · School | 5607 Nw 27th Ave, Miami, FL 33142-2826 | 2021-02-02 |
1598385163 | Etan Austein | Student in an Organized Health Care Education/Training Program | 5607 Nw 27th Ave, Miami, FL 33142-2826 | 2020-04-23 |
1326501057 | Belema Abere | Student in an Organized Health Care Education/Training Program | 5607 Nw 27th Ave, Miami, FL 33142-2826 | 2019-04-10 |
1568842615 | Jessie Trice Community Health System Inc · Jessie Trice Community Health Center Inc | Dentist | 5607 Nw 27th Ave Ste 1, Miami, FL 33142-2826 | 2015-06-04 |
1649679085 | Wayne Stephens | Dentist · Pediatric Dentistry | 5607 Nw 27th Ave, Suite 2, Miami, FL 33142-2826 | 2014-08-21 |
1972828663 | Darren Thomas Thornton | Family Medicine | 5607 Nw 27th Ave, Suite 1, Miami, FL 33142-2826 | 2010-04-06 |
1730417023 | Alonzo L Grant IIi | Obstetrics & Gynecology | 5607 Nw 27th Ave Ste 1, Miami, FL 33142-2826 | 2009-11-24 |
1629184676 | Clinio Cesar Cerrud | Dentist · Endodontics | 5607 Nw 27th Ave, Suite 2, Miami, FL 33142-2826 | 2006-08-22 |
1780626820 | Cheryl Lavern Holder | Internal Medicine | 5607 Nw 27th Ave, Suite 1, Miami, FL 33142-2826 | 2006-06-12 |
1881659365 | Joycelyn J Lawrence | Family Medicine | 5607 Nw 27th Ave, Suite 1, Miami, FL 33142-2826 | 2006-04-19 |
Find all providers in zip 33142-2826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639764723 | Dreams and Success Homes, Inc. | Case Management | 5941 Nw 32nd Ave, Miami, FL 33142 | 2021-03-02 |
1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
1023509817 | Care 4 U Management, Inc · Care 4 U Community Health Center | Case Manager/Care Coordinator | 4690 Nw 7th Avenue, Miami, FL 33142 | 2018-05-29 |
1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
1184146540 | Antonio Javaun Davis | Counselor · Mental Health | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
1467800169 | Pharmacy Chevalier Inc · Pharmacy Chevalier | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
Find all providers in zip 33142 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154921757 | Belkys Clavero Fernandez | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2020-11-01 | |
1750988903 | Rosa Cristina Caraballo Novoa | 6785 W Flagler St, Miami, FL 33144-2923 | 2020-10-01 | |
1043829385 | Mailyn Cortes · Mailyn Cortes | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 | |
1902426729 | Jose Dalby Contreras | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 | |
1003454919 | Yuliet Alfonso Zaldivar | 3510 Biscayne Blvd, Miami, FL 33137-3840 | 2019-12-11 | |
1437611209 | Jenny Alejandra Alvarez | 10300 Sw 216th Street, Miami, FL 33190 | 2019-04-02 | |
1154886125 | Sahily Del Toro Lopez | 1901 Sw 1st St, Miami, FL 33135-1601 | 2019-02-04 | |
1518441013 | Helen Pavon-Pozo | 3510 Biscayne Blvd, Miami, FL 33137-3840 | 2018-09-20 | |
1265919872 | Jessica Ross | 7600 S Highway 69a, Miami, OK 74354-1016 | 2018-07-26 | |
1477030138 | Sonya Carper | 7600 S Highway 69a, Miami, OK 74354-1016 | 2018-07-25 | |
Find all providers in MIAMI |
City | MIAMI |
Zip Code | 33142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437326287 | Edna Vega | Case Manager/Care Coordinator | Bairoa Park Rafael Polo St 2 H25, Caguas, PR 00725 | 2008-05-12 |
1740620707 | Lorena Polo | Internal Medicine · Infectious Disease | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2013-07-04 |
1770761082 | Polo Hco LLC · Polo Rehabilitation & Health Care Center | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2008-02-08 |
1760455158 | Fmsc Edna Operating Company Lp · Care Inn of Edna | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2006-02-08 |
1942800198 | Precious Gems Homes @ Polo Dr | Assisted Living Facility | 5502 Polo Dr, Wichita, KS 67208-2752 | 2020-10-27 |
1578605085 | Hank De Polo · Henry L De Polo | Chiropractor | 2160 E County Road 540a, Lakeland, FL 33813-3740 | 2007-02-12 |
1295732360 | Mid Americacare Foundation · Polo Rehabilitation and Health Care Center | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2005-07-05 |
1720227069 | Polo Community Ambulance Service | Ambulance | 206 S Franklin Ave, Polo, IL 61064-1716 | 2009-02-10 |
1881147940 | Polo Fire Protection District | Ambulance | 206 S Franklin Ave, Polo, IL 61064-1716 | 2016-07-25 |
1336326453 | Polo Community School District #222 | Local Education Agency (LEA) | 100 S Union Ave, Polo, IL 61064-1724 | 2008-01-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.