Individual
VIVIANA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1995 CARR 2 STE 306, BAYAMON, PR 00959-5065
(787) 919-7799
Mailing address
273 CALLE HONDURAS APT 406, SAN JUAN, PR 00917-2809
(787) 313-2143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34226
PR
207RG0100X
Gastroenterology Physician
Primary
22323
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/26/2016
Last updated
04/14/2026
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