Individual
ILEANA ENID BLASINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
503 CALLE ROOSEVELT, URB. LA CUMBRE, SAN JUAN, PR 00926-5608
(787) 287-2290
Mailing address
F7 CALLE ECUADOR, URB. OASIS GDNS, GUAYNABO, PR 00969-3424
(787) 790-8726
(787) 287-2290
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
7459
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7459
STATE LICENCE
PR
Enumeration date
06/05/2007
Last updated
07/08/2007
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