Individual provider Active NPI

Alex Joseph Blanco, MD

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1962573055
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L1804 Issued in TX
Practice address
10410 Medical Loop
Unit 3B
Laredo, TX 78045-6612
Phone
(956) 523-8900
Fax
(956) 523-8903
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 L1804 TX Primary

Addresses

Primary practice location

10410 Medical Loop
Unit 3B
Laredo, TX 78045-6612

Mailing address

10410 Medical Loop
Unit 3B
Laredo, TX 78045-6612
Phone (956) 523-8900

Other identifiers 4

IdentifierTypeStateIssuer
8P9780OtherTXBLUE CROSS
L1804OtherTXLICENSE
148154106MedicaidTX
T0119526OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050105000859 TX Practitioner - Family Practice 5294783312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monzer H Yazji MD and Associates PLLCGroup PAC ID 2062470529, 83 clinicians

Practice addresses (Care Compare)

7215 McPherson Rd
Laredo, TX 78041-6554
Phone (956) 608-4500

Hospital & facility affiliations

  • St. Jude'S Specialty Home and Health Care Services, Inc. Home health agency, Laredo, TX, CCN 747388
  • Hospice Specialty Inc Hospice, Laredo, TX, CCN 741544
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643
  • Laredo Medical Center Hospital, Laredo, TX, CCN 450029
  • Las Alturas Nursing & Transitional Care Nursing home, Laredo, TX, CCN 676465
  • La Frontera Nursing & Rehabilitation Nursing home, Laredo, TX, CCN 675030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Premier Healthcare, PLLC Family Medicine Current Accepting new patients
Monzer H Yazji MD & Associates PLLC Family Medicine CurrentSince Mar 4, 2022 Accepting new patients
South Texas Physician Partners PLLC Family Medicine CurrentSince Apr 2, 2025 Accepting new patients

Locations

502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100

7215 McPherson Rd
Laredo, TX 78041
Phone (956) 608-4500

7210 McPherson Rd
Ste 115
Laredo, TX 78041
Phone (956) 722-8046

5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411

Interoperability endpoints

  • Direct secure messaging: blanco@direct.meditouchehr.com
  • Direct secure messaging: alex.blanco.1@33464.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962573055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP",
            "address_2": "UNIT 3B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456612",
            "telephone_number": "956-523-8900",
            "fax_number": "956-523-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP",
            "address_2": "UNIT 3B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456612",
            "telephone_number": "956-523-8900",
            "fax_number": "956-523-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "ALEX",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8P9780",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L1804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148154106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "T0119526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.