ILEANA ENID BLASINI


Address: 503 Calle Roosevelt, Urb. La Cumbre, San Juan, PR 00926-5608
Phone: 7872872290

ILEANA ENID BLASINI (NPI# 1306048897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306048897
Entity Type Individual
Full Name ILEANA ENID BLASINI
Credential MD
Practice Address 503 Calle Roosevelt
Urb. La Cumbre
San Juan
PR 00926-5608
Mailing Address F7 Calle Ecuador
Urb. Oasis Gdns
Guaynabo
PR 00969-3424
Practice Telephone 7872872290
Mailing Telephone 7877908726
Mailing Fax Number 7872872290
Enumeration Date 2007-06-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
7459 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PR STATE LICENCE 7459 01

Office Location

Street Address 503 CALLE ROOSEVELT
URB. LA CUMBRE
City SAN JUAN
State PR
Zip Code 00926-5608

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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245309632 Recinto De Ciencias Medicas Pediatrics Ave Americo Miranda Aptdo.29134 Centro Medico De Pr, Edif Principal Escuela De Medicina, San Juan, PR 00929-0134 2006-11-07

Competitor

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City SAN JUAN
Zip Code 00926

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Dataset Information

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.

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