Omar L Blanco, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9000004 Issued in FL

Practice address

2750 SW 37TH Ave
Miami, FL 33133-2764

Phone

(305) 642-4263

Fax

(305) 426-3329

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miami Breast Center LLC

  • Specialist
  • Key Biscayne, FL
  • NPI 1063726099
  Medicare reassignment
• Miami Hand PLLC

  • Specialist
  • Coconut Grove, FL
  • NPI 1295062610
  Medicare reassignment
• Physicians Associates, LLC.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1568429363
  Medicare reassignment
• Miami Hand Center, PL

  • Specialist
  • Miami, FL
  • NPI 1588615678
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1073565933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-642-4263",
            "fax_number": "305-426-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SW 37TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-642-4263",
            "fax_number": "305-426-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "OMAR",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Blanco, COTA
• Nataly Blanco, MD
• Nia Blanco
• Ocier Blanco
• Olivio Omar Blanco Jr., D.C.
• Roberto Carlos Blanco, DNP, CRNA, ARNP
• Rommy Blanco, RBT
• Scarleth De Los Angeles Blanco
• Theresa Blanco, D.O.
• Valeria Blanco

• Surgical Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.