Active NPIIndividual providerSole proprietor

Yanitzmarie Polanco Jordan, MS

Psychologist, School in Fajardo, Puerto Rico

NPI Number1811891021
Practice location
G24 Calle Principal, Fajardo, PR 00738-3774
Fax
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Last updated
October 3, 2026

Yanitzmarie Polanco Jordan is a Psychologist, School based in Fajardo, PR. Yanitzmarie Polanco Jordan practices in Fajardo, PR and has the professional credentials of MS. The NPI Number for Yanitzmarie Polanco Jordan is 1811891021 and holds a License No. 9135 (PR). The current practice location address for Yanitzmarie Polanco Jordan is G24 Calle Principal, Fajardo, PR 00738-3774 and can be reached out via phone at 919-348-2717.

Provider Profile Details

NPI Number
1811891021
Provider Name
Yanitzmarie Polanco Jordan
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
G24 Calle Principal, Fajardo, PR 00738-3774
Phone Number
919-348-2717
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2026
Last Update Date
October 3, 2026
Certification Date
October 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
G24 Calle Principal
Fajardo, PR 00738-3774
Zip
00738-3774
Phone Number
919-348-2717
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
19 Calle Canela
Ceiba, PR 00735-4010
City
Ceiba
State
PR
Zip
00735-4010
Phone Number
919-397-3828

License Information

License Number
9135
License State
PR
Taxonomy
Psychologist, School · 103TS0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Yanitzmarie Polanco Jordan, MS?

The NPI number of Yanitzmarie Polanco Jordan, MS is 1811891021. It was assigned on October 3, 2026 and is currently active in the NPPES registry.

What is the specialty of Yanitzmarie Polanco Jordan, MS?

Yanitzmarie Polanco Jordan, MS is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in PR under license number 9135.

Where does Yanitzmarie Polanco Jordan, MS practice?

The practice location is G24 Calle Principal, Fajardo, PR 00738-3774. The office can be reached at 919-348-2717 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811891021 directly on the NPPES registry website.

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