MEDICARE: VIVIANA BLANCO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	22323	PR
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	34226	PR

General Provider Information

NPI Number	:	1356894398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIANA BLANCO MD

Provider Business Mailing Address
First Line	:	273 CALLE HONDURAS APT 406
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917-2809
Country	:	US
Telephone Number	:	787-313-2143
Fax Number	:

Provider Business Practice Location Address
First Line	:	1995 CARR 2 STE 306
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-5065
Country	:	US
Telephone Number	:	787-919-7799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2016
Last Update Date	:	04/14/2026

Similar Medicare Providers

1730439886 — DR. JACA MONTIJO CSP
Practice Location Address:

METROMEDICAL , SUITE 903
BAYAMON, PR
00959-5065

Practice Phone: 787-935-7500
Practice Fax: 787-395-7501

1518373851 — CARIBEL SANABRIA VELEZ PH.D.
Practice Location Address:

995 CARR 2 STE 801A
BAYAMON, PR
00959-5065

Practice Phone: 939-363-2104
Practice Fax:

1285341248 — MIND & HEART PSYCHOLOGY LLC
Practice Location Address:

995 CARR 2 STE 805A
BAYAMON, PR
00959-5065

Practice Phone: 939-363-2104
Practice Fax:

1982449039 — ELIZABETH MARIE ESTREMERA TOSADO
Practice Location Address:

METROMEDICAL # A-805
BAYAMON, PR
00959-5065

Practice Phone: 787-356-2440
Practice Fax:

1467303669 — LISBETH GARCIA PENA
Practice Location Address:

METROMEDICAL # B
BAYAMON, PR
00959-5065

Practice Phone: 787-949-5021
Practice Fax:

1821925926 — JLA INTERNAL MEDICINE LLC
Practice Location Address:

URB RIVIERA PARKVIEW 37 CALLE YOSEMITE
BAYAMON, PR
00959

Practice Phone: 787-340-4167
Practice Fax:

Directions to “ VIVIANA BLANCO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.