Active NPI
Jose Enrique Blasco-Jusino, DPM
- Podiatrist
- Miami, FL
National Provider Identifier
1790478097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PR803
- Practice address
- 1201 NW 16TH St
Miami, FL 33125-1624 - Phone
- (305) 575-7000
- NPI assigned
- Jun 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PR803 | FL | Primary |
Addresses
Primary practice location
1201 NW 16TH St
Miami, FL 33125-1624
Mailing address
1369 Urb. Mercedita
Bonita St.
Ponce, PR 00717-1624
Phone (787) 638-5908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601003857 | PR | Order and Referring Only - Podiatry | 0648740530 |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
106 Paseo del Principe
Ponce, PR 00716
1494 FD Roosevelt Ave
Suite 101 Caparra Heights
San Juan, PR 00920
Phone (787) 782-1453
909 Ave Tito Castro
Suite 519
Ponce, PR 00716-4721
Phone (787) 705-8181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR803 | FL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1790478097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369 URB. MERCEDITA",
"address_2": "BONITA ST.",
"city": "PONCE",
"state": "PR",
"postal_code": "007171624",
"telephone_number": "787-638-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASCO-JUSINO",
"first_name": "JOSE",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PR803",
"primary": true
}
],
"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 Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.