Individual provider Active NPI

Carlos Alberto Blanco, MD

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1699716670
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME71266 Issued in FL
Practice address
3845 SW 148TH Ter
Miramar, FL 33027-3313
Phone
(305) 761-9392
Fax
(954) 842-4630
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME71266 FL Primary

Addresses

Primary practice location

3845 SW 148TH Ter
Miramar, FL 33027-3313

Mailing address

3845 SW 148TH Ter
Miramar, FL 33027-3313
Phone (305) 761-9392

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040421000011 FL Practitioner - General Practice 6800881657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14601 SW 29TH St
Suite 301
Miramar, FL 33027-4714
Phone (786) 344-5022

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

3845 SW 148 Terrace
Miramar, FL 33027-3313

3845 SW 148TH Ter
Miramar, FL 33027-3313

651 E 25 St
Hialeah, FL 33013-3814
Phone (305) 693-6100

Hospital & facility affiliations

  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Best Community Care Inc CurrentSince Sep 20, 2022 Accepting new patients
Florida Sunrise Health Care LLC CurrentSince Dec 8, 2024 Accepting new patients
Surgical Services of Florida Inc Family Medicine CurrentSince Jul 18, 2016 Accepting new patients
J.R.C Rehabilitation Medical Center, Inc. Past Accepting new patients
Doral Medical Rehab Center Inc PastSince Mar 6, 2006 Accepting new patients
Competent Group Services Inc PastSince Jan 22, 2013 Accepting new patients

Locations

5901 NW 183rd St
Ste 136
Hialeah, FL 33015
Phone (786) 306-0426

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

14601 SW 29th St
Ste 301
Miramar, FL 33027
Phone (786) 344-5022

Organizations & group practices 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1699716670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 SW 148TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273313",
            "telephone_number": "305-761-9392",
            "fax_number": "954-842-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 SW 148TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273313",
            "telephone_number": "305-761-9392",
            "fax_number": "954-842-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME71266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.