Individual
MRS. CARMEN JULIA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
URB. LOS REYES #29 CALLE ORO, JUANA DIAZ, PR 00795-2858
(787) 810-1040
(787) 260-1059
Mailing address
URB. LOS REYES, #29 CALLE ORO, JUANA DIAZ, PR 00795-2858
(787) 810-1040
(787) 260-1059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22433
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1868135
DRIVERS LICENSE
PR
Enumeration date
03/07/2007
Last updated
07/08/2007
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