Active NPI
Luis a. Blanco M.D. PA
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1356749006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- LUIS A. BLANCO M.D. PA
- Practice address
- 8752 SW 8TH St
Miami, FL 33174-3201 - Phone
- (305) 554-0044
- NPI assigned
- Dec 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis A Blanco, M.D.
- Title
- President
- Phone
- (305) 554-0044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X | ME49234 | FL |
Addresses
Primary practice location
8752 SW 8TH St
Miami, FL 33174-3201
Mailing address
8752 SW 8TH St
Miami, FL 33174-3201
Phone (305) 554-0044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME49234 | Other | FL | MEDICAL LICENSE |
| 296978800 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
8752 SW 8th St
Miami, FL 33174
Phone (305) 554-0044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Miami, FL
- NPI 1558580522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1356749006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8752 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743201",
"telephone_number": "305-554-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8752 SW 8TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331743201",
"telephone_number": "305-554-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS A. BLANCO M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "BLANCO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-554-0044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME49234",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME49234",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296978800",
"state": "FL"
}
],
"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 Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.