Cristina Marie Blanco

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14965 Issued in FL

Practice address

3400 Coral Way Ste 202
Miami, FL 33145-3053

Phone

(305) 856-1999

NPI assigned

Dec 17, 2013

Last updated

Jan 16, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• My Therapy Center, Inc

  • Early Intervention Provider Agency
  • Miami, FL
  • NPI 1821418880
  NPD (past)
• My Therapy Center, Inc

  • Speech-Language Assistant
  • Coral Gables, FL
  • NPI 1962813972
  NPD (past)
• My Therapy Center, Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1275775397

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1174944193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CORAL WAY STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453053",
            "telephone_number": "305-856-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CORAL WAY STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453053",
            "telephone_number": "305-856-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2218",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7368",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015741400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos A Blanco, PA
• Catherine Blanco, APRN
• Chanel Blanco
• Christine Blanco
• Cristina Blanco, PT
• Dainier Blanco, B.A
• Dalina Maria Blanco I
• Danette Blanco, PA-C
• Diego A Blanco, PT
• Dulce Blanco

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.