Lucia Tatiana Blanco Valdes, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11009013 Issued in FL

Practice address

900 Park Centre Blvd Ste 400a
Miami Gardens, FL 33169-5371

Phone

(305) 912-8603

Fax

(305) 907-5343

NPI assigned

Sep 8, 2020

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tu Salud Medical Centers III LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1093472557
  Medicare reassignment NPD
• Tu Salud Medical Services Inc

  • Urology Physician
  • Miami Gardens, FL
  • NPI 1376913053
  Medicare reassignment NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1962016824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6746 SW 115TH CT APT 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734896",
            "telephone_number": "786-333-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PARK CENTRE BLVD STE 400A",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695371",
            "telephone_number": "305-912-8603",
            "fax_number": "305-907-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO VALDES",
        "first_name": "LUCIA",
        "middle_name": "TATIANA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayan Blanco Carmona, RBT
• Lazara Blanco Gutierrez
• Santiago Blanco Lagares
• Elianys Blanco Lazo
• Yanisleydis Blanco Tito
• Jairon Blanco-Lastre
• Jasmine Blanco I
• Josefina Blasco
• Vicente Blasini
• Blessings Health Services Inc

• Nurse Practitioner in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.

Verify at the official NPI Registry.