Dr. Jose Ricardo Burgos Polo is a Dade City, Florida based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jose Ricardo Burgos Polo is DN27318 for Dentistry in Florida. His current practice location is 37944 Pasco Ave, Dade City. Patients can reach him at 352-518-2000.
Dr. Jose Ricardo Burgos Polo is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jose Ricardo Burgos Polo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jose Ricardo Burgos Polo
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
37944 Pasco Ave, Dade City, Florida, 33525-4202
Phone:
352-518-2000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013903996
NPI Enumeration Date:
26 Sep, 2005
NPI Last Update On:
14 Feb, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jose Ricardo Burgos Polo are as mentioned below.
License Number
Specialization
State
Status
DN27318
Dentistry
Florida
Primary
02586
Dentistry
Puerto Rico
Secondary
DTC18
General Practice Dentistry
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jose Ricardo Burgos Polo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003690900
Medicaid
Florida
7082
Other
Puerto Rico
INTERNATIONAL MEDICAL CAR
41079BU
Other
Puerto Rico
SSS PROVIDER
70338A
Other
Puerto Rico
PREFERED MEDICAL CHOICE
660427801F3
Other
Puerto Rico
MCS ADVANTAGE
DTC18
Other
Florida
FLORIDA DENTAL TEMPORARY CERTIFICATE
DTC-168
Other
Florida
FLORIDA STATE DENTAL TEMPORARY CERTIFICATE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
110 Moller Way, Lakeland, Florida
Zip:
33813-2867
Phone Number:
863-660-5401
Patients can reach Dr. Jose Ricardo Burgos Polo at 37944 Pasco Ave, Dade City, Florida or can call to book an appointment on 352-518-2000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.