Jose Angel Blanco de Jesus Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10080 Issued in PR

Practice address

1255 Tito Castro Ave
Plaza Las Monjitas Suite 204
Ponce, PR 00730

Phone

(787) 844-7336

Fax

(787) 844-7336

NPI assigned

Aug 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Damas Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1730159286
  Medicare reassignment NPD
• Southern Anesthesia Associates LLC

  • Specialist
  • Ponce, PR
  • NPI 1336120153
  NPD
• Rad Nucs LLC

  • Diagnostic Radiology Physician
  • San German, PR
  • NPI 1477980662
  NPD (past)
• Yauco Healthcare Corporation

  dba Hospital Pavia Yauco

  • General Acute Care Hospital
  • Yauco, PR
  • NPI 1760475388
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154430825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 COLINA ST",
            "address_2": "URB VALLE ALTO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304139",
            "telephone_number": "787-259-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 TITO CASTRO AVE",
            "address_2": "PLAZA LAS MONJITAS SUITE 204",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-844-7336",
            "fax_number": "787-844-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO DE JESUS",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Arecibo, Inc. (Fresenius Medical Care - Ponce Centro Dialysis)
• Bio-Medical Applications of Ponce, Inc. (Bma Ponce)
• Bio-Medical Applications of Puerto Rico, Inc. (Bma West Ponce)
• Juana D Bisono-Bido, MD
• Malynie D Blanco Burgos, M.D.
• Edda Maria Blanco Rodriguez, MSW
• Arturo Luis Blanco-Plard, DMD, MSD
• Ivonne Magaly Blasini, M.D.
• Ricardo J Blondet Vissepo, M.D.
• Bluemind LLC

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.