Ernesto Jose Blanco, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

ME90706 Issued in FL

Practice address

1625 SE 3Rd Ave Ste 200
Fort Lauderdale, FL 33316-2521

Phone

(954) 764-0921

Fax

(954) 467-7432

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 and National Provider Directory roles.

• North Broward Hospital District

  • Neurological Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1801581129
  Medicare reassignment NPD
• Nicklaus Children'S Pediatric Specialists, LLC

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
  • NPI 1588063176
  Medicare reassignment NPD (past)
• Nicklaus Children'S Pediatric Specialists, LLC

  • Pediatric Hematology & Oncology Physician
  • Fort Lauderdale, FL
  • NPI 1295695104
  NPD
• North Broward Hospital District

  • Federally Qualified Health Center (FQHC)
  • Fort Lauderdale, FL
  • NPI 1134512650
  NPD
• North Broward Hospital District

  • Community/Retail Pharmacy
  • Pompano Beach, FL
  • NPI 1699709766
  NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1316902430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-764-0921",
            "fax_number": "954-467-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-764-0921",
            "fax_number": "954-467-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Commerce Pkwy Ste 113",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263255",
            "country_code": "US",
            "telephone_number": "954-217-5720",
            "fax_number": "954-217-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ERNESTO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME90706",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME90706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270373400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnoux Blanchard, M.D
• Rashaun Blanchard
• Irina Blanco Estrada
• Christine Blanco, ARNP
• Ernest Blanco
• Luis Manuel Blanco, ARNP-C
• Marissa Blanco, LMHC
• Pamela Blandon
• Thomas Andrew Blasco, M.D.
• Erik A Bleeker, PT

• Pediatric Endocrinology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatric Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.