Individual
ILIANNA POLATOS-QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17902 NW 81ST CT, HIALEAH, FL 33015-2847
(954) 815-9973
Mailing address
5645 CORAL RIDGE DR # 107, CORAL SPRINGS, FL 33076-3124
(954) 815-9973
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
3293252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677953196
—
FL
Enumeration date
07/07/2020
Last updated
07/07/2020
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