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NPI Code Detail

MEDICARE: DAYANIS MONTESINO BLANCO FNP-C, PMHNP-BC

MEDICARE: DAYANIS MONTESINO BLANCO FNP-C, PMHNP-BC
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
1363LF0000XFamily Nurse PractitionerAPRN11010193FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11010193FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174126932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYANIS MONTESINO BLANCO FNP-C, PMHNP-BC
Provider Business Mailing Address
First Line : 827 18TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6481
Country : US
Telephone Number : 772-925-8190
Fax Number : 772-925-8199
Provider Business Practice Location Address
First Line : 981 37TH PL
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-6541
Country : US
Telephone Number : 772-257-5785
Fax Number : 772-257-5325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2020
Last Update Date : 02/03/2026

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