Theresa Blanco, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS9997 Issued in FL

Practice address

17601 NW 2ND Ave
Miami, FL 33169-5001

Phone

(305) 770-4500

NPI assigned

Apr 13, 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)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423958400000",
    "number": "1841414455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331566752",
            "telephone_number": "305-746-6782",
            "fax_number": "305-238-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17601 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695001",
            "telephone_number": "305-770-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivio Omar Blanco Jr., D.C.
• Omar L Blanco, PA
• Roberto Carlos Blanco, DNP, CRNA, ARNP
• Rommy Blanco, RBT
• Scarleth De Los Angeles Blanco
• Valeria Blanco
• Victoria Sue Blanco, COTA/L
• Waldo Blanco
• Xotchilt C Blanco, LMHC
• Yannay Blanco

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.