Carlos A. Blanco | |
11341 Nw 42nd Ter Doral FL 33178-1810 | |
(305) 761-9392 | |
(305) 381-0548 |
Full Name | Carlos A. Blanco |
---|---|
Speciality | Family Medicine |
Location | 11341 Nw 42nd Ter, Doral, Florida |
Authorized Official Name and Position | Carlos A Blanco (PRESIDENT) |
Authorized Official Contact | 3057619392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carlos A. Blanco Po Box 527432 Miami FL 33152-7432 Ph: (305) 761-9392 | Carlos A. Blanco 11341 Nw 42nd Ter Doral FL 33178-1810 Ph: (305) 761-9392 |
NPI Number | 1043413727 |
---|---|
Provider Enumeration Date | 06/08/2007 |
Last Update Date | 02/03/2012 |
Medicare PECOS PAC ID | 6800935610 |
---|---|
Medicare Enrollment ID | O20091207000567 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043413727 | NPI | - | NPPES |
250957100 | Medicaid | FL | |
1699716670 | Other | FL | INDIVIDUAL NPI |
266547600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME 71266 (Florida) | Primary |
Provider Name | Carlos A Blanco |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1699716670 PECOS PAC ID: 6800881657 Enrollment ID: I20040421000011 |
Armando Pineda-velez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8181 Nw 36th Street Suite 9, Suite # 210, Doral, FL 33166 Phone: 305-301-9322 Fax: 305-436-3781 | |
Texas Provider Health Network, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3750 Nw 87th Ave Ste 500, Doral, FL 33178 Phone: 305-284-7484 | |
Dade County Rehab Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Nw 79th Ave Ste 820, Doral, FL 33166 Phone: 305-597-0180 Fax: 305-597-0180 | |
Centro Medico Hispano Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Nw 25th St, 209, Doral, FL 33172 Phone: 305-647-7383 Fax: 786-534-3568 | |
Prohealth Doral Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8247 Nw 36th St, Doral, FL 33166 Phone: 786-422-4309 | |
Vip Compliance Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2404 Nw 87th Pl, Doral, FL 33172 Phone: 305-470-2220 Fax: 305-470-2765 | |
Tenet Florida Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3650 Nw 82nd Ave, Ste 502, Doral, FL 33166 Phone: 305-594-9333 |