Wilmarie Jean Bruckman Blanco, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12043 Issued in PR

Practice address

Upr Medical Sciences Campus
Suite 209
San Juan, PR 00936

Phone

(787) 756-4020

NPI assigned

Oct 8, 2008

Last updated

Jul 12, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  NPD (past)
• Dorado Health Inc

  dba Manati Medical Center

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  NPD (past)
• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1326299389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 CALLE HEBRIDES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241732",
            "telephone_number": "787-276-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR MEDICAL SCIENCES CAMPUS",
            "address_2": "SUITE 209",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-756-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKMAN BLANCO",
        "first_name": "WILMARIE",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "12043",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PR",
            "license": "18158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Brito-Orama
• Broken Bone Ortho CSP
• Bromedicon PR Inc
• Taylor Brown, D.D.S.
• BRS Physiatry & Sports Medicine PSC
• Maria T Brugueras, RPH
• Ines M Brull Rios, DTP
• Isabel Cristina Bruna Hernandez, MD
• Kisha Christina Brunet Fuentes, M.D.
• Javier Ivan Brunet-Vallejo

• Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.