| Blanco Medical Center Llc | |
|
10661 N Kendall Dr Ste 216 Miami FL 33176-1550 | |
| (786) 631-4158 | |
| (786) 631-4159 |
| Full Name | Blanco Medical Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10661 N Kendall Dr Ste 216, Miami, Florida |
| Authorized Official Name and Position | Mercy Blanco (PHYSICIAN) |
| Authorized Official Contact | 7866314158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanco Medical Center Llc 10661 N Kendall Dr Ste 216 Miami FL 33176-1550 Ph: (786) 631-4158 | Blanco Medical Center Llc 10661 N Kendall Dr Ste 216 Miami FL 33176-1550 Ph: (786) 631-4158 |
| NPI Number | 1750149928 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 1759720931 |
|---|---|
| Medicare Enrollment ID | O20240420000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750149928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mercy Blanco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669038733 PECOS PAC ID: 9436504727 Enrollment ID: I20231005002582 |
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