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Individual

DR. AIDA L BLASINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1503 CALLE PROF AUGUSTO RODRIGUEZ, 1ST FLOOR, SAN JUAN, PR 00909-2275
(787) 726-5037
(787) 726-5043
Mailing address
1503 CALLE PROF AUGUSTO RODRIGUEZ, 1ST FLOOR, SAN JUAN, PR 00909-2275
(787) 726-5037
(787) 726-5043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
007516
PR
207R00000X
Internal Medicine Physician
017534
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11591
PROSALUD
PR
01
115946
UNITED HEALTHCARE
LA
05
1357391
LA
01
23961
TRIPLE-S
PR
01
4011571
AETNA
01
4995
PMC
PR
01
500652E
MMM
PR
01
50291
OPTION HEALTH
PR
Enumeration date
07/26/2005
Last updated
11/10/2010
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