MEDICARE: DR. GUILLERMO 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	2084N0400X	Neurology Physician	44402	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1750379350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUILLERMO BLANCO MD

Provider Business Mailing Address
First Line	:	1990 NE 163RD ST
Second Line	:	SUITE 202
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4854
Country	:	US
Telephone Number	:	305-948-3333
Fax Number	:	305-948-6632

Provider Business Practice Location Address
First Line	:	1990 NE 163RD ST
Second Line	:	SUITE 202
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4854
Country	:	US
Telephone Number	:	305-948-3333
Fax Number	:	305-948-6632

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1346237005 — DR. OLAKUNLE TEMITOPE OLAGBEMI MD
Practice Location Address:

1990 NE 163RD ST , STE 101
NORTH MIAMI BEACH, FL
33162-4854

Practice Phone: 305-949-1275
Practice Fax: 305-949-1273

1083655914 — COMPREHENSIVE DIAGNOSTICS INC.
Practice Location Address:

1990 NE 163RD ST STE 207
NORTH MIAMI BEACH, FL
33162-4854

Practice Phone: 305-861-0232
Practice Fax: 305-935-7561

1710147533 — SAGE PEDIATRICS PA
Practice Location Address:

1990 NE 163RD ST , SUITE # 101
NORTH MIAMI BEACH, FL
33162-4854

Practice Phone: 305-949-1275
Practice Fax: 305-949-1273

1013208719 — EHT-EL TAYLOR LMHC, LMFT
Practice Location Address:

1990 NE 163RD ST , SUITE 102
NORTH MIAMI BEACH, FL
33162-4854

Practice Phone: 305-945-9906
Practice Fax: 305-945-9907

1306386859 — FLORCY F JOSEPH
Practice Location Address:

1990 NE 163RD ST STE 105
NORTH MIAMI BEACH, FL
33162-4854

Practice Phone: 786-361-8519
Practice Fax:

Directions to “ DR. GUILLERMO 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.