DR. JORGE L PEREZ POLANCO (NPI# 1538158761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538158761 |
| Entity Type | Individual |
| Full Name | DR. JORGE L PEREZ POLANCO |
| Credential | MD |
| Practice Address |
708 Del Prado Blvd S-9 Cape Coral FL 33990-5616 |
| Practice Telephone | 2395742644 |
| Practice Fax Number | 2395741451 |
| Mailing Telephone | 2395742644 |
| Mailing Fax Number | 2395741451 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME94246 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1865320 | 01 |
| FL | RAILROAD PROVIDER NUMBER | P00288529 | 01 |
| FL | 274617400 | 05 | |
| FL | BCBS | 30018 | 01 |
| Street Address |
708 DEL PRADO BLVD S-9 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548661705 | Diane Bush | Pharmacist | 708 Del Prado Blvd, Suite 4, Cape Coral, FL 33990-5616 | 2014-09-08 |
| 1558600676 | Janine M Hass | Nurse Practitioner | 708 Del Prado Blvd, #7, Cape Coral, FL 33990-2676 | 2013-02-08 |
| 1194026849 | Lawrence W Gardner Jr Md Pa | Internal Medicine | 708 Del Prado Blvd, Suite 5, Cape Coral, FL 33990-5616 | 2010-11-11 |
| 1477864379 | Anita Shinde | Internal Medicine | 708 Del Prado Blvd, Ste 9, Cape Coral, FL 33990-5616 | 2010-06-24 |
| 1598083313 | Estela Thano | Internal Medicine | 708 Del Prado Blvd, Suite 7, Cape Coral, FL 33990-2676 | 2010-05-05 |
| 1114171170 | Anuradha Satyavolu | Family Medicine | 708 Del Prado Blvd, Ste 9, Cape Coral, FL 33990 | 2008-11-04 |
| 1548410590 | Simon Jesus Kassis Hadid | Internal Medicine | 708 Del Prado Blvd, Suite 9, Cape Coral, FL 33990-5616 | 2008-09-26 |
| 1427210970 | Juan Hernandez | Family Medicine | 708 Del Prado Blvd, S-9, Cape Coral, FL 33990-5616 | 2008-06-26 |
| 1316132699 | Erika E Graziani | Dietitian, Registered | 708 Del Prado Blvd, Suite 1, Cape Coral, FL 33990-5616 | 2007-09-11 |
| 1780877977 | Jaime Orlando Carrillo | Internal Medicine | 708 Del Prado Blvd, Suite 9, Cape Coral, FL 33990-5616 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932703 | Cape Coral Integrated Medical | Internal Medicine | 643 Cape Coral Pkwy E Ste E, Cape Coral, FL 33904-8549 | 2020-11-02 |
| 1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
| 1972074706 | P & C Medical Care,inc | Internal Medicine | 1305 Se 47th Ter, Cape Coral, FL 33904-9674 | 2018-12-05 |
| 1801281928 | Sarada Penukonda Md | Internal Medicine | 323 Del Prado Blvd S Ste 100, Cape Coral, FL 33990-1747 | 2015-04-06 |
| 1669613998 | Juan C. Domingo, M.d.,p.a. | Internal Medicine | 900 Sw Pine Island Road, Unit 208, Cape Coral, FL 33991-0000 | 2009-03-17 |
| 1720146566 | Michele A Candelore | Internal Medicine | 3326 Del Prado Blvd S, Suite #8, Cape Coral, FL 33904-7299 | 2006-12-05 |
| 1992887061 | Sarada Penukonda | Internal Medicine | 323 Del Prado Blvd., S, Suite 100, Cape Coral, FL 33990 | 2006-10-19 |
| 1437245834 | Luis Antonio Espina | Internal Medicine | 1511 Se 29th Ter, Cape Coral, FL 33904-3953 | 2006-10-04 |
| 1356365043 | Ajay K Dhawan | Internal Medicine | 1108 Amber Lake Ct, Cape Coral, FL 33909-2946 | 2006-07-26 |
| 1104841360 | Edwin Kyung Chung | Internal Medicine | 290 Nicholas Pkwy Nw Ste 1, Cape Coral, FL 33991-3804 | 2006-07-12 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
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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.