Carmen Elena Blinn, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME63706 Issued in FL

Practice address

11021 SW 93Rd CT
Miami, FL 33176-3638

Phone

(305) 596-6945

Fax

(305) 275-6810

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699896464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 SW 93RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763638",
            "telephone_number": "305-596-6945",
            "fax_number": "305-275-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 SW 93RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763638",
            "telephone_number": "305-596-6945",
            "fax_number": "305-275-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINN",
        "first_name": "CARMEN",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stacy Blickman
• Randall David Blinn, M.D.
• Darryl Jay Blinski, M.D.
• Bliss Therapy Solutions, LLC
• Blissful Minds Wellness, LLC
• Jonathan Todd Bloch, D.M.D

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.