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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RUBEN PEREZ POLO ARNP
NPI 1710277413
Nurse Practitioner - Family in Miami Gardens, FL

Active since April 14, 2011PECOS Enrolled
4855 NW 183RD ST, MIAMI GARDENS, FL 33055(305) 787-3333(786) 785-4870 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Apr 2, 2026, Jun 26, 2025 and 5 more (8 updates tracked since 2015).

About Ruben Perez Polo Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUBEN PEREZ POLO ARNP (NPI 1710277413) is an individual family provider in Miami Gardens, Florida, licensed in Florida (ARNP 9383647) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710277413
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRUBEN PEREZ POLOCredential: ARNP
Location Address4855 NW 183RD STMiami Gardens, FL 33055-2955
Mailing Address4855 Nw 183rd StMiami Gardens, FL 33055-2955 · (305) 787-3333 · Fax (786) 785-4870
Phone(305) 787-3333
Fax(786) 785-4870
Sole ProprietorYes
Enumeration DateApril 14, 2011
Last NPPES UpdateOctober 5, 20268 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1710277413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP 9383647
4855 NW 183RD ST, Miami Gardens, FL 33055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruben Perez Polo Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ruben Perez Polo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica Las Mercedes, LLC
5.3 mi
Multi-Specialty
2750 W 68TH ST STE 127-128
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 65 clinicians in this Medicare group
NPI 1558877308 (305) 558-0765

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REYNALDO LOPEZ M.D
Internal Medicine
4855 NW 183RD ST
MIAMI GARDENS, FL 33055
Miami-Dade County (786) 501-3757
PENATE MEDICAL CENTER 4 LLC
Clinic/Center
4855 NW 183RD ST
MIAMI GARDENS, FL 33055
Miami-Dade County (786) 272-9170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruben Perez Polo's NPI number?

The NPI number for Ruben Perez Polo is 1710277413. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Ruben Perez Polo located?

Ruben Perez Polo practices at 4855 NW 183rd St, Miami Gardens, FL 33055. The listed phone number is (305) 787-3333.

What is Ruben Perez Polo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ruben Perez Polo enrolled in Medicare?

Yes. Ruben Perez Polo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ruben Perez Polo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruben Perez Polo reassigns Medicare benefits to Clinica Las Mercedes, LLC (Hialeah, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruben Perez Polo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ruben Perez Polo was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.