Carlos A. Blanco - Medicare Primary Care in Doral, FL

Carlos A. Blanco is a medicare enrolled primary clinic (Family Medicine) in Doral, Florida. The current practice location for Carlos A. Blanco is 11341 Nw 42nd Ter, Doral, Florida. For appointments, you can reach them via phone at (305) 761-9392. The mailing address for Carlos A. Blanco is Po Box 527432, Miami, Florida and phone number is (305) 761-9392.

Carlos A. Blanco is licensed to practice in Florida (license number ME 71266). The clinic also participates in the medicare program and its NPI number is 1043413727. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (305) 761-9392.

Contact Information

Carlos A. Blanco
11341 Nw 42nd Ter
Doral
FL 33178-1810
(305) 761-9392
(305) 381-0548

Primary Care Clinic Profile

Full NameCarlos A. Blanco
SpecialityFamily Medicine
Location11341 Nw 42nd Ter, Doral, Florida
Authorized Official Name and PositionCarlos A Blanco (PRESIDENT)
Authorized Official Contact3057619392
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carlos A. Blanco
Po Box 527432
Miami
FL 33152-7432

Ph: (305) 761-9392
Carlos A. Blanco
11341 Nw 42nd Ter
Doral
FL 33178-1810

Ph: (305) 761-9392

NPI Details:

NPI Number1043413727
Provider Enumeration Date06/08/2007
Last Update Date02/03/2012

Medicare PECOS Information:

Medicare PECOS PAC ID6800935610
Medicare Enrollment IDO20091207000567

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Medical Identifiers

Medical identifiers for Carlos A. Blanco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043413727NPI-NPPES
250957100MedicaidFL
1699716670OtherFLINDIVIDUAL NPI
266547600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME 71266 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Carlos A. Blanco acts as a billing entity for following providers:
Provider NameCarlos A Blanco
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1699716670
PECOS PAC ID: 6800881657
Enrollment ID: I20040421000011

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