Individual provider Active NPI

Aida L Blasini, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1255331872
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
007516 Issued in PR
Practice address
1503 Calle Prof Augusto Rodriguez
1St Floor
San Juan, PR 00909-2275
Phone
(787) 726-5037
Fax
(787) 726-5043
NPI assigned
Jul 26, 2005
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 017534 LA
Internal Medicine Physician 207R00000X 007516 PR Primary

Addresses

Primary practice location

1503 Calle Prof Augusto Rodriguez
1St Floor
San Juan, PR 00909-2275

Mailing address

1503 Calle Prof Augusto Rodriguez
1St Floor
San Juan, PR 00909-2275
Phone (787) 726-5037

Other identifiers 8

IdentifierTypeStateIssuer
23961OtherPRTRIPLE-S
4011571OtherAETNA
50291OtherPROPTION HEALTH
1357391MedicaidLA
11591OtherPRPROSALUD
115946OtherLAUNITED HEALTHCARE
4995OtherPRPMC
500652EOtherPRMMM

Other names 1

  • Dr. Aida L Blasini-Torres Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060206000444 PR Practitioner - Internal Medicine 4880608215 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1503 C/ a Rodriguez
1St Floor
San Juan, PR 00909-2275
Phone (787) 726-5037

1503 Calle Prof Augusto Rodriguez
1St Floor
San Juan, PR 00909-2275

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017534LAMDInternal Medicine Physician
007516PRMDInternal Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1255331872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUEZ",
            "address_2": "1ST FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-726-5037",
            "fax_number": "787-726-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUEZ",
            "address_2": "1ST FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-726-5037",
            "fax_number": "787-726-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASINI",
        "first_name": "AIDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017534",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "007516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "23961",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4011571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION HEALTH",
            "identifier": "50291",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1357391",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSALUD",
            "identifier": "11591",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "115946",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "4995",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "500652E",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDA",
            "last_name": "BLASINI-TORRES",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.