MRS. MAITE BLANCO (NPI# 1225567662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225567662 |
| Entity Type | Individual |
| Full Name | MRS. MAITE BLANCO |
| Practice Address |
10994 Nw 40 Street Sunrise FL 33351 |
| Mailing Address |
10994 Nw 40th St Sunrise FL 33351-8273 |
| Practice Telephone | 3053180934 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
10994 NW 40 STREET |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| 1780119917 | Open Arm Housing and Care | Community Based Residential Treatment Facility, Mental Illness | 4031 Nw 91st Ters, Sunrise, FL 33351 | 2017-04-25 |
| Find all providers in zip 33351 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688245 | Stela Katelieva | Counselor | 9560 Nw 31st Pl, Sunrise, FL 33351-7157 | 2020-10-26 |
| 1003439274 | Marisha A Davis | Counselor | 1670 Nw 58th Ter Apt 1, Sunrise, FL 33313-4753 | 2020-05-22 |
| 1023644903 | Mick Desrameaux | Counselor | 1471 Nw 60th Ave, Sunrise, FL 33313-6222 | 2020-03-23 |
| 1336772110 | Katherine Chaca | Counselor | 1425 Nw 126th Way, Sunrise, FL 33323-3194 | 2020-02-19 |
| 1932739638 | Mary Blake Bulla | Counselor | 240 Riverwalk Cir, Sunrise, FL 33326-2291 | 2020-01-22 |
| 1083272959 | Luis Oscar Monteagudo | Counselor | 717 Shotgun Rd, Sunrise, FL 33326-1966 | 2019-06-05 |
| 1083184378 | Laura Lyew | Counselor | 5448 Nw 90th Ter, Sunrise, FL 33351-7769 | 2018-11-28 |
| 1962914705 | Yumi Esparza | Counselor | 896 Nw 21 Ct, Sunrise, FL 33322-3931 | 2017-11-02 |
| 1740791441 | Juan Diaz | Counselor | 3055 Nw 126th Ave Apt 103, Sunrise, FL 33323-6332 | 2017-10-20 |
| 1366978975 | Keisha Trotman | Counselor | 1590 Nw 128th Dr, Apt 204, Sunrise, FL 33323-5217 | 2017-05-03 |
| Find all providers in SUNRISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.