Geraldine Polvos | San Jose, CA • PECOS Search

Geraldine Polvos

Social Worker

Behavioral Health & Social Service Providers

160 E Virginia St Ste 280, San Jose, CA 95112-5817

PECOS Enrollment

Based on the most recent information from CMS, provider Geraldine Polvos does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417426982
Provider Type
Individual
Full Name
Polvos, Geraldine
Gender
Female

Sole Proprietor
No
Enumeration Date
11/14/2018
Last Updated
9/11/2023

Contact Information

Practice Location

160 E Virginia St Ste 280, San Jose, CA 95112-5817

Unlisted Fax

Mailing Location

160 E Virginia St Ste 100, San Jose, CA 95112-5865

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 117797 California