# RAUL BLANCO AZCUY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447591508
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 207Q00000X | Family Medicine Physician | ACN1354 | FL | Yes |
| 208D00000X | General Practice Physician | ACN1354 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 15224-I | PR | — |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 07/02/2026