Individual
DR. MALYNIE D BLANCO BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ESTANCIAS DEL GOLF CLUB, # 101 MIGUEL RIVERA TEXIDOR STREET, PONCE, PR 00730
(787) 844-5496
(787) 840-0052
Mailing address
ESTANCIAS DEL GOLF CLUB, # 101 MIGUEL RIVERA TEXIDOR STREET, PONCE, PR 00730
(787) 844-5496
(787) 840-0052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13881
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13881
MEDICAL LISENCE
PR
01
—
142273
NARCOTIC STATE LISENCE
PR
01
—
BB7545695
NARCOTI FEDERAL LISENCE
PR
Enumeration date
05/04/2006
Last updated
03/29/2022
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