Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Prido Jose Polanco Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841930237

Dr. Prido Jose Polanco Jr., MD is a Family Practice in Tucson, Arizona. Qualified in 2018, 8 years ago. Practices with Northwest Urgent Care LLC, a 71-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6060 N Fountain Plaza Dr Ste 270
Tucson, AZ 85704-7873
Phone: (520) 229-2578
Fax: (520) 229-2561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6431 Fannin St Ste Jjl 3082, Houston, TX 77030-1501 — (713) 500-7610

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 74291 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841930237
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2022
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwest Urgent Care Llc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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