Organization Active NPI

Blanco & Blanco Psychology and Best Life Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Guaynabo, PR
National Provider Identifier
1659763159
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
004727 Issued in PR
Legal business name
BLANCO & BLANCO PSYCHOLOGY AND BEST LIFE CLINIC
Practice address
B5 Calle Tabonuco Ste 203
Galeria San Patricio
Guaynabo, PR 00968-3004
Phone
(787) 906-9696
NPI assigned
Feb 21, 2015
Last updated
Feb 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Authorized official

Name
Dr. Carlo Blanco, PSY.D.
Title
Ceo
Phone
(787) 906-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 004727 PR Primary

Addresses

Primary practice location

B5 Calle Tabonuco Ste 203
Galeria San Patricio
Guaynabo, PR 00968-3004

Mailing address

B5 Calle Tabonuco Ste 203
Galeria San Patricio
Guaynabo, PR 00968-3004
Phone (787) 906-9696

National Provider Directory

National Provider Directory

Locations

B5 Calle Tabonuco
Ste 203
Guaynabo, PR 00968
Phone (787) 906-9696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1659763159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B5 CALLE TABONUCO STE 203",
            "address_2": "GALERIA SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683004",
            "telephone_number": "787-906-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B5 CALLE TABONUCO STE 203",
            "address_2": "GALERIA SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683004",
            "telephone_number": "787-906-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCO & BLANCO PSYCHOLOGY AND BEST LIFE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-906-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "004727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; 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.