| Mrs Maydibis Blanco Alonso, | |
|
5555 Hollywood Blvd Ste 300, Hollywood, FL 33021-6469 | |
| (786) 380-8375 | |
| Not Available |
| Full Name | Mrs Maydibis Blanco Alonso |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5555 Hollywood Blvd Ste 300, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083208599 | NPI | - | NPPES |
| Entity Name | Cmp Medical Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578042610 PECOS PAC ID: 9133457401 Enrollment ID: O20190823002363 |
| Entity Name | Florida Behavioral Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467996660 PECOS PAC ID: 7810322872 Enrollment ID: O20200121001931 |
| Entity Name | Miami Health Community Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861086035 PECOS PAC ID: 4981011640 Enrollment ID: O20210324001337 |
| Entity Name | Safe Haven Behavioral Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942835798 PECOS PAC ID: 5890104541 Enrollment ID: O20210510000375 |
| Entity Name | Community Connection Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245885219 PECOS PAC ID: 8224437314 Enrollment ID: O20210521001108 |
| Entity Name | Family United Health Community Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851994628 PECOS PAC ID: 3577964956 Enrollment ID: O20210623000139 |
| Entity Name | Paradise Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144813015 PECOS PAC ID: 8628472792 Enrollment ID: O20210811002654 |
| Entity Name | Multi Health Community Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386243822 PECOS PAC ID: 4789055815 Enrollment ID: O20230126003535 |
| Entity Name | Balance Life Health Service Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871317495 PECOS PAC ID: 4789100173 Enrollment ID: O20250429001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Maydibis Blanco Alonso, 14460 Sw 50th Ter, Miami, FL 33175-5038 Ph: (786) 380-8375 | Mrs Maydibis Blanco Alonso, 5555 Hollywood Blvd Ste 300, Hollywood, FL 33021-6469 Ph: (786) 380-8375 |