Maydibis Blanco Alonso

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2023208874 Issued in FL

Practice address

5555 Hollywood Blvd Ste 300
Hollywood, FL 33021-6469

Phone

(786) 380-8375

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paradise Health Group LLCGroup PAC ID 8628472792, 2 clinicians

Balance Life Health Service LLCGroup PAC ID 4789100173, 2 clinicians

Gandg Behavioral Center IncGroup PAC ID 4183095193, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Balance Life Health Service LLC

  • Community/Behavioral Health Agency
  • Hollywood, FL
  • NPI 1871317495
  Medicare reassignment Care Compare group NPD Authorized official
• Paradise Health Group LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1144813015

  Family

  Medicare reassignment Care Compare group NPD
• G & G Behavioral Center Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1306488036
  Medicare reassignment Care Compare group
• CM Care Medical Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1497560403
  Medicare reassignment NPD
• CMP Medical Center Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1578042610
  Medicare reassignment NPD
• Community Connection Florida LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1245885219
  Medicare reassignment NPD
• Family Health Community Inc

  • Community/Behavioral Health Agency
  • Doral, FL
  • NPI 1851994628
  Medicare reassignment NPD
• Miami Health Community Centers Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1861086035
  Medicare reassignment NPD
• Safe Haven Behavioral Center LLC

  • Case Management Agency
  • Miami Gardens, FL
  • NPI 1942835798
  Medicare reassignment NPD
• Argus Medical Staffing

  • Adult Mental Health Clinic/Center
  • Miami, FL
  • NPI 1760191548
  NPD (past) Authorized official
• Safe Haven Behavioral Center LLC

  • Community/Behavioral Health Agency
  • Miami Gardens, FL
  • NPI 1619549755
  NPD
• Nova Community Services Corp

  • Community/Behavioral Health Agency
  • Palmetto Bay, FL
  • NPI 1861089054

  Family

  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1083208599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 SW 50TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755038",
            "telephone_number": "786-380-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 HOLLYWOOD BLVD STE 300",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216469",
            "telephone_number": "786-380-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14460 SW 50th Ter",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331755038",
            "country_code": "US",
            "telephone_number": "786-380-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO ALONSO",
        "first_name": "MAYDIBIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010046",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2023208874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvinesha Blackshear
• Bathsheva Blackston, MFT-INTERN
• Blade Reliant
• Dahlia Ann Blake, MD
• Nadege M Blanc, APRN
• Raul Blanco Azcuy, MD
• Cinthya Blanco Gonzalez
• Emilio Armando Blanco, M.D.
• Maite Blanco
• Marlon Blanco

• Psychiatric/Mental Health Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.