Individual provider Active NPI

Roberto Carlos Blanco, DNP, CRNA, ARNP

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1326511395
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11000864 Issued in FL
Practice address
1400 NW 12TH Ave Ste 75
Miami, FL 33136-1003
Phone
(305) 689-5792
Fax
(305) 689-1089
NPI assigned
Jan 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN9275537 FL
Certified Registered Nurse Anesthetist 367500000X APRN11000864 FL Primary
Anesthesiology Physician 207L00000X 0131254 OK
Registered Nurse 163W00000X RN9275537 FL
Nurse Practitioner 363L00000X RN9275537 FL

Addresses

Primary practice location

1400 NW 12TH Ave Ste 75
Miami, FL 33136-1003

Mailing address

14470 SW 162ND St
Miami, FL 33177-1714
Phone (786) 219-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OK, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190403000528 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739420670 Reassigns benefits to 3 organizations
I20231205000580 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739420670 Reassigns benefits to 2 organizations
I20240219003410 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739420670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Netherlands Anesthesia, LLCGroup PAC ID 8123433588, 41 clinicians

Practice addresses (Care Compare)

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0131254OKMDAnesthesiology Physician
RN9275537FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients
Otero County Hospital Association CurrentSince Feb 14, 2024 Accepting new patients
Galloway Anesthesia Associates LLC Anesthesiology CurrentSince Feb 9, 2021 Accepting new patients
Netherlands Anesthesia, LLC Anesthesiology CurrentSince Dec 7, 2024 Accepting new patients
Galloway Anesthesia Associates, LLC Anesthesiology CurrentSince Feb 9, 2021 Accepting new patients
Ias Oklahoma LLC Anesthesiology CurrentSince May 18, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Feb 14, 2024 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Jun 19, 2023 Accepting new patients
University of Miami Current Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC Anesthesiology CurrentSince Jan 9, 2024 Accepting new patients
George F Robie Jr M D PLLC Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

515 W State Road 434
Ste 105
Longwood, FL 32750
Phone (407) 260-6000

1400 NW 12th Ave
Ste 75
Miami, FL 33136
Phone (305) 689-5792

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1400 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 325-5416

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 11

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.

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1326511395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 SW 162ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771714",
            "telephone_number": "786-219-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE STE 75",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5792",
            "fax_number": "305-689-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ROBERTO",
        "middle_name": "CARLOS",
        "credential": "DNP, CRNA, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9275537",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11000864",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "0131254",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9275537",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9275537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.