MEDICARE: JOSE EMILIO POLO-MADERO RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-19-99364	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BACB513306	OTHER	FL	BACB
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003467952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE EMILIO POLO-MADERO RBT

Provider Business Mailing Address
First Line	:	3780 NW 22ND AVE APT 707
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-8322
Country	:	US
Telephone Number	:	305-528-6974
Fax Number	:

Provider Business Practice Location Address
First Line	:	3780 NW 22ND AVE APT 707
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-8322
Country	:	US
Telephone Number	:	305-528-6974
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	03/06/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1780539189 — GOLDA HOME CARE MULTISERVICE LLC
Practice Location Address:

2300 NW 52ND ST
MIAMI, FL
33142-8024

Practice Phone: 561-817-4068
Practice Fax: 561-634-2868

1992084669 — MS. NATHALIE MAC-GUFFIE LMHC
Practice Location Address:

5361 NW 22ND AVE
MIAMI, FL
33142-8035

Practice Phone: 305-637-6400
Practice Fax: 305-636-5155

1326994005 — AC MCGHEE JR.
Practice Location Address:

5607 NW 27TH AVE STE 2
MIAMI, FL
33142-2826

Practice Phone: 305-637-6400
Practice Fax:

1184629743 — JACKSON HEIGHTS NH, L.L.C.
Practice Location Address:

1404 NW 22ND ST
MIAMI, FL
33142-7742

Practice Phone: 305-325-1050
Practice Fax: 305-325-0232

1649279761 — ONEIL JOSEPH PYKE M.D.
Practice Location Address:

5361 NW 22ND AVE
MIAMI, FL
33142-8035

Practice Phone: 305-637-6400
Practice Fax: 305-636-5155

Directions to “ JOSE EMILIO POLO-MADERO RBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.