Individual
CARLOS BLANCO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD DENTIST
Contact information
Practice address
559 CALLE RAMOS ANTONINI, EL TUQUE APT 1, PONCE, PR 00728-4700
(787) 841-2618
(787) 841-2618
Mailing address
CALLE DONCELLA 1632, URB SAN ANTONIO, PONCE, PR 00728-1608
(787) 842-9166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1679
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041370
CRUZ AZUL HEALTH PLAN
PR
01
—
41574BL
SSS HEALTH PLAN
PR
Enumeration date
03/05/2007
Last updated
05/17/2026
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