ERNESTO JOSE BLANCO (NPI# 1316902430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316902430 |
| Entity Type | Individual |
| Full Name | ERNESTO JOSE BLANCO |
| Credential | MD |
| Practice Address |
1625 Se 3rd Ave Ste 200 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9547640921 |
| Practice Fax Number | 9544677432 |
| Mailing Telephone | 9547640921 |
| Mailing Fax Number | 9544677432 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME90706 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
ME90706 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270373400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669649 | Ernesto Antonio Blanco | Internal Medicine | 801 W Maple St, Farmington, NM 87401-5630 | 2017-06-18 |
| 1780918276 | Ernesto Ignacio Blanco | Radiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-09-30 |
| 1508843392 | Ernesto Blanco | Radiology | 8401 Datapoint Dr Ste 600, San Antonio, TX 78229-5907 | 2005-12-22 |
| Street Address |
1625 SE 3RD AVE STE 200 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700814761 | North Broward Hospital District | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-06-29 |
| 1053349001 | North Broward Hospital District | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-06-29 |
| 1952354151 | Neil Thomas Tucker | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164884235 | North Broward Hospital District | Pediatrics | 1625 Se 3rd Avenue, Suite 635, Fort Lauderdale, FL 33316-2521 | 2016-03-28 |
| 1700814761 | North Broward Hospital District | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
| 1942438767 | Lisa Erin Kenigsberg Fechter | Pediatrics | 9600 W Sample Rd Ste 505, Coral Springs, FL 33065-4037 | 2009-07-01 |
| 1063671212 | Miladys Miriam Palau Collazo | Pediatrics | 9401 Sw Discovery Way Ste 102, Port Saint Lucie, FL 34987-2381 | 2008-06-03 |
| 1043417421 | Omar Dean Hudson | Pediatrics | 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | 2007-06-29 |
| 1790987964 | Konda Mohan Reddy | Pediatrics | 1801 Lee Rd Ste 170, Winter Park, FL 32789 | 2007-06-01 |
| 1477764207 | Sissi Cossio | Pediatrics | 7605 N State Rd 7, Parkland, FL 33067 | 2007-05-24 |
| 1588701379 | Samuel M Freedman | Pediatrics | 601 N Flamingo Rd Ste 207, Pembroke Pines, FL 33028-1009 | 2007-01-31 |
| 1326116443 | Kelly J Seiler | Pediatrics | 10383 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3782 | 2006-11-30 |
| 1447324744 | Luis E Gonzalez-mendoza | Pediatrics | 3100 Sw 62nd Ave Ste 122, Miami, FL 33155-3009 | 2006-11-20 |
| 1538240320 | Amid Habib | Pediatrics | 789 Douglas Ave, Suite 137, Altamonte Springs, FL 32714 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.