Ileana Enid Blasini, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

7459 Issued in PR

Practice address

503 Calle Roosevelt
Urb. la Cumbre
San Juan, PR 00926-5608

Phone

(787) 287-2290

NPI assigned

Jun 5, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306048897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F7 CALLE ECUADOR",
            "address_2": "URB. OASIS GDNS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693424",
            "telephone_number": "787-790-8726",
            "fax_number": "787-287-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CALLE ROOSEVELT",
            "address_2": "URB. LA CUMBRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265608",
            "telephone_number": "787-287-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASINI",
        "first_name": "ILEANA",
        "middle_name": "ENID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "PR",
            "license": "7459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "7459",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Francisco Blanes Sr., RPH
• Gianna Andrea Blasini Flores
• Barbara Marie Blasini Rodriguez, M.D
• Marino Blasini-Torres, M.D.
• Aida L Blasini, M.D.
• Blessing Therapy
• Maximo C Blondet Passalacqua, MD,FCCP
• BM Radiology PSC
• BMS Sales & Services, Inc.
• Liana I Boada, DMD

• Developmental - Behavioral Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Developmental - Behavioral Pediatrics 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.