Individual provider · Type 1 NPI

Jose Miguel Polanco Reyes

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1457290819 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

934 W Dover Rd
Pawling, NY 12564-2350

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X14746 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457290819

Jose Miguel Polanco Reyes's National Provider Identifier is 1457290819, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on May 8, 2026.