Individual provider Active NPI

Wilfredo Cosme-Blanco, M.D.,PH.D.

  • Allergy & Immunology Physician
  • Aguadilla, PR
National Provider Identifier
1285977793
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
19335 Issued in PR
Practice address
47 Ave Severiano Cuevas Ste 1
Aguadilla, PR 00603-5751
Phone
(787) 658-6133
NPI assigned
Apr 3, 2013
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 19335 PR Primary
Pediatrics Physician 208000000X 19335 PR

Addresses

Primary practice location

47 Ave Severiano Cuevas Ste 1
Aguadilla, PR 00603-5751

Mailing address

PO Box 4864
Aguadilla, PR 00605-4864
Phone (787) 658-6133

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
I20181212000711 PR Practitioner - Allergy/Immunology 7012251473 Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Ave Severiano Cuevas
Suite 1
Aguadilla, PR 00603-5751
Phone (787) 658-6133

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: wilfredo.cosmeblanco@3379.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1285977793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4864",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054864",
            "telephone_number": "787-658-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 AVE SEVERIANO CUEVAS STE 1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035751",
            "telephone_number": "787-658-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSME-BLANCO",
        "first_name": "WILFREDO",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PR",
            "license": "19335",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "19335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.