| NPI | 1306899026 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-17 |
| Last Updated | 2025-01-02 |
| Mailing Address | 3300 S Fiske Blvd Rockledge, FL 32955-4306 United States 📍 View Map |
| Primary Practice Address | 1223 Gateway Dr Melbourne, FL 32901-2607 United States Phone: (321) 312-3487 | Fax: (321) 956-2542 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 274442200 | - |
| Other (non-Medicare) | FL | 41003 | BCBS of FL |
| Other (non-Medicare) | - | 7388727 | Aetna |
| Other (non-Medicare) | FL | P00382944 | RR Medicare |
| Other (non-Medicare) | FL | P01164167 | FL RR Medicare |
| Other (non-Medicare) | FL | U6951W | HFMG medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | FL | ME89353 |
| No | 207RC0001X – Internal Medicine, Clinical Cardiac Electrophysiology | FL | ME894353 |
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About NPI 1306899026
Enrique D Polanco MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306899026. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Melbourne, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306899026?
NPI 1306899026 belongs to Enrique D Polanco MD, a Internal Medicine, Cardiovascular Disease in Melbourne, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306899026 active?
The current status of NPI 1306899026 in the NPPES registry is Active. The record was last updated on 2025-01-02.
What specialty is NPI 1306899026?
NPI 1306899026 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306899026?
You can verify NPI 1306899026 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306899026?
The primary practice address on file for NPI 1306899026 is 1223 Gateway Dr, Melbourne, FL 32901-2607. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306899026 issued?
NPI 1306899026 was first issued (enumerated) on 2006-05-17. The NPPES record was last updated on 2025-01-02.
Practice Location Map
Enrique D Polanco is located at 1223 Gateway Dr, Melbourne, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Enrique D Polanco. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1306899026. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | ME89353 | FL |
| Internal Medicine, Clinical Cardiac Electrophysiology | ME894353 | FL |