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Individual
DR. GOAR BLANCO BLASCO
Active
Individual
DR. GOAR BLANCO BLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0264
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074005
BLUE CROSS BLUE SHIELD
PR
01
—
1388
FIRST MEDICAL
—
01
—
51229BL
BLUE CROSS BLUE SHIELD PR
PR
01
—
83203
PR WORKERS COMP
PR
01
—
9260158
HUMANA INS PR
PR
01
—
CP1001
PAN AMERICAN LIFE
—
Enumeration date
01/13/2006
Last updated
02/19/2010
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