{"npi":"1013903996","type":"NPI-1","status":"active","name":{"display":"Dr. Jose Burgos Polo D.M.D.","other":[],"first":"JOSE","last":"BURGOS POLO","middle":"RICARDO","credential":"D.M.D."},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":false,"state":"PR","license":"02586"},{"code":"1223G0001X","description":"General Practice Dentistry","primary":false,"state":"FL","license":"DTC18"},{"code":"122300000X","description":"Dentist","primary":true,"state":"FL","license":"DN27318"}]},"addresses":[{"purpose":"LOCATION","street_1":"37944 PASCO AVE","city":"DADE CITY","state":"FL","postal_code":"335254202","country_code":"US","phone":"3525182000"},{"purpose":"MAILING","street_1":"110 MOLLER WAY","city":"LAKELAND","state":"FL","postal_code":"338132867","country_code":"US","phone":"8636605401"}],"license":{"state":"FL","number":"DN27318"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"003690900","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"7082","state":"PR","issuer":"INTERNATIONAL MEDICAL CAR"},{"type_code":"01","label":"Other","value":"41079BU","state":"PR","issuer":"SSS PROVIDER"},{"type_code":"01","label":"Other","value":"70338A","state":"PR","issuer":"PREFERED MEDICAL CHOICE"},{"type_code":"01","label":"Other","value":"660427801F3","state":"PR","issuer":"MCS ADVANTAGE"},{"type_code":"01","label":"Other","value":"DTC18","state":"FL","issuer":"FLORIDA DENTAL TEMPORARY CERTIFICATE"},{"type_code":"01","label":"Other","value":"DTC-168","state":"FL","issuer":"FLORIDA STATE DENTAL TEMPORARY CERTIFICATE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-26","last_updated":"2023-02-14","_meta":{"source":"NPPES","snapshot_date":"2023-02-14","doc_url":"https://findmynpi.com/api"}}