Vivian Blanquisco Bilasano (NPI# 1821002825, PAC ID# 0749357812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821002825 |
| PAC ID by PECOS | 0749357812 |
| Professional Enrollment ID | I20080916000468 |
| Full Name | Vivian Blanquisco Bilasano |
| Organization Legal Name | VIVIAN BILASANO MD LLC |
| Address |
1951 Sw 172nd Ave Suite 312 Miramar FL 33029-5614 |
| Phone Number | 9543207999 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 3779890900 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100285 | MEMORIAL HOSPITAL MIRAMAR |
| 100281 | MEMORIAL HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 1951 Sw 172nd Ave, Suite 312, Miramar, FL 33029-5614 | 9543207999 | VIVIAN BILASANO MD LLC |
| Organization Legal Name | VIVIAN BILASANO MD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge Konopka | Family Medicine | Vivian Bilasano Md LLC | 1951 Sw 172nd Ave, Suite 312, Miramar, FL 33029-5614 |
| Street Address |
1951 SW 172ND AVE SUITE 312 |
| City | MIRAMAR |
| State | FL |
| Zip | 33029-5614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lavinio I Anghel | Obstetrics/gynecology | 1951 Sw 172nd Ave, Suite 212, Miramar, FL 33029-5613 | |
| Alejandra C Vivas | Dermatology | Leavitt Medical Associates of Florida Inc | 1951 Sw 172nd Ave, Suite 404, Miramar, FL 33029-5614 |
| Mohamed Etafy | Urology | Gousse Urology, LLC | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5614 |
| Jorge Konopka | Family Medicine | Vivian Bilasano Md LLC | 1951 Sw 172nd Ave, Suite 312, Miramar, FL 33029-5614 |
| Mariela Sandi | Physician Assistant | Gousse Urology, LLC | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5614 |
| Kenneth O Karp | Ophthalmology | 1951 Sw 172nd Ave, Suite 304, Miramar, FL 33029-5614 | |
| Richard S Friefeld | Obstetrics/gynecology | Florida Woman Care LLC | 1951 Sw 172nd Ave, Suite 200, Miramar, FL 33029-5613 |
| Angelo E Gousse | Urology | Gousse Urology, LLC | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5614 |
| Miguel E Martinez | Obstetrics/gynecology | 1951 Sw 172nd Ave, Suite 210, Miramar, FL 33029-5613 | |
| Ashley Pardue Gomez | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 1951 Sw 172nd Ave, Suite 404, Miramar, FL 33029-5614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Isaac Kirschbaum | Interventional Pain Management | Blue Water Pain Solutions, Pa | 1951 Sw172nd Ave, Suite 314, Miramar, FL 33029 |
| Roberto D Comperatore | General Surgery | 1951 Sw 172 Ave, Suite 200, Miramar, FL 33029 | |
| Rosemary Daly | Interventional Pain Management | Blue Water Pain Solutions, Pa | 1951 Sw172nd Ave, Miramar, FL 33029 |
| Jennifer A Spinner | Clinical Social Worker | 19620 Pines Blvd, Suite 217, Pembroke Pines, FL 33029-1309 | |
| Caleb J Kennedy | Optometry | 18503 Pines Blvd, Suite 205, Pembroke Pines, FL 33029-1405 | |
| Alvaro M Murcia | Cardiovascular Disease (cardiology) | 18503 Pines Blvd, Suite 303, Pembroke Pines, FL 33029-1406 | |
| Marlenny Feliz Cruz | Internal Medicine | 18503 Pines Blvd, Suite 311, Pembroke Pines, FL 33029-1406 | |
| Dean Palmer | Gastroenterology | Gastrocare LLP | 18503 Pines Blvd, Suite 311, Pembroke Pines, FL 33029-1406 |
| Angelica Aguirre | Nurse Practitioner | Gastrocare LLP | 18503 Pines Blvd, Suite 311, Pembroke Pines, FL 33029-1406 |
| Patrick Pinchinat | Psychiatry | 18503 Pines Blvd, Suite 215, Pembroke Pines, FL 33029-1409 | |
| Find all physicians in zip 33029 | |||
| City | MIRAMAR |
| Zip Code | 33029 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MIRAMAR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vivian Blanquisco Bilasano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.