DR. LUIS A BLANCO (NPI# 1558580522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558580522 |
| Entity Type | Individual |
| Full Name | DR. LUIS A BLANCO |
| Credential | M.D. |
| Practice Address |
8752 Sw 8th St Miami FL 33174-3201 |
| Practice Telephone | 3055540044 |
| Practice Fax Number | 3055544406 |
| Mailing Telephone | 3055540044 |
| Mailing Fax Number | 3055544406 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
ME 49234 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269978800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790134641 | Luis Manuel Blanco | Nurse Practitioner | 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 | 2016-06-10 |
| 1043532179 | Luis A Blanco | Physician Assistant | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2010-02-16 |
| 1679739262 | Luis Z Blanco Jr. | Pathology | 251 E Huron St, Feinberg 7-325, Chicago, IL 60611-2908 | 2008-08-02 |
| 1730254855 | Luis J. Blanco | Dentist | 1201 N Stonewall Ave, Room 494, Oklahoma City, OK 73117-1214 | 2006-11-22 |
| 1285714212 | Luis A. Blanco | Dentist | 220 Westchester Ave, Port Chester, NY 10573-4557 | 2006-10-16 |
| Street Address |
8752 SW 8TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33174-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356749006 | Luis A. Blanco M.d. Pa | Clinic/Center | 8752 Sw 8th St, Miami, FL 33174-3201 | 2014-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322931 | Gonzalez Medical & Rehabilitation Center LLC. | Clinic/Center | Gonzalez Medical & Rehabilitation Center LLC., 9600 Sw 8th Street Suite 26, Miami, FL 33174 | 2019-12-06 |
| 1942841655 | Eida J Alvarez | Pharmacist | 10332 W. Flager St., Miami, FL 33174 | 2019-10-03 |
| 1477021384 | Greyte Leyva Souto | Nurse Practitioner | 9856 Sw 8th St Apt 211, Miami, FL 33174 | 2018-11-08 |
| 1205322856 | Salome Fraga | Dentist | 9971 W Flagler Street, Suite 220, Miami, FL 33174 | 2018-07-06 |
| 1013425610 | Estuardo Del Peso | Nurse Practitioner | 345 Sw 97th Ct, Miami, FL 33174 | 2018-01-17 |
| 1477079911 | Jocelyn Hernandez | Behavior Technician | 10942 Sw 4st Apt 1, Miami, FL 33174 | 2017-08-16 |
| 1558885608 | Mariela Hernandez | Behavior Technician | 8770 Sw 12 Th St Apt 202, Miami, FL 33174 | 2017-07-31 |
| 1164943130 | Jesus Portal | Behavior Technician | 11262 Sw 7th St, Miami, FL 33174 | 2017-06-29 |
| 1033644877 | Enrique Barreiro | Assistant Behavior Analyst | 10801 Sw 7 St, Apt 2, Miami, FL 33174 | 2017-05-01 |
| 1528503893 | Damaris Quinones | Behavior Technician | 8900 West Flagler, Miami, FL 33174 | 2016-12-22 |
| Find all providers in zip 33174 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528281409 | Ivan Alberto Gonzalez | Pediatrics | 1580 N.w. 10th Avenue, Locator Code D4-4, Miami, FL 33136 | 2007-04-10 |
| 1710047121 | Alfredo Ivan Murciano | Pediatrics | 6537 Coral Way, Miami, FL 33155-1843 | 2006-12-08 |
| 1568458834 | Pablo M Laufer | Pediatrics | 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 | 2005-09-22 |
| 1922552876 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Suite 206, Miami, FL 33155 | 2016-08-09 |
| 1134512064 | Arsj Pediatrics Infectious Diseases | Pediatrics | 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 | 2015-03-17 |
| 1457795874 | Brandon Chatani | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2013-04-29 |
| 1437292521 | Pediatric Infectious Diseases LLC | Pediatrics | 3200 Sw 60th Ct, Suite 206, Miami, FL 33155-4000 | 2007-02-15 |
| 1831256809 | Antonia Rosa Sanjorge | Pediatrics | 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 | 2007-01-02 |
| 1396770244 | Gwendolyn B Scott | Pediatrics | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-07-11 |
| 1932139391 | Delia M Rivera Hernandez | Pediatrics | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-07-03 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.