Polanco, Maira C.

Polanco, Maira C. is an individual health care provider with primary practice located at 1905 Nw 82Nd Ave , Doral FL 33126-1011. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Polanco, Maira C. can be contacted via phone (305) 406-9585.

Contact Information

Primary practice address
1905 Nw 82Nd Ave Doral FL 33126-1011
Phone: (305) 406-9585
Fax: (305) 406-9478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1790886596
LBN Legal business name Polanco, Maira C.
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Mar 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790886596 NPPES
Florida MEDICAID 004369100

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