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General NPI Number Information
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NPI Number | 1295606317
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Entity Type | Individual
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Provider Name | MARTHELY POLLAS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 656 AVE PONCE DE LEON STE 1 SUITE 1
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-998-8997
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Fax |
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Provider Business Mailing Address
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Address Line | 11844 SW 13TH CT
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4813
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Country | US
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Telephone | 786-203-7765
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9428894
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License Number State | FL
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