Provider Demographics
NPI:1467757344
Name:POLARIS HEALTHCARE USA INC
Entity Type:Organization
Organization Name:POLARIS HEALTHCARE USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-476-8996
Mailing Address - Street 1:2030 S DOUGLAS RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4615
Mailing Address - Country:US
Mailing Address - Phone:305-476-8996
Mailing Address - Fax:305-476-8998
Practice Address - Street 1:2030 S DOUGLAS RD
Practice Address - Street 2:SUITE 118
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4615
Practice Address - Country:US
Practice Address - Phone:305-476-8996
Practice Address - Fax:305-476-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty