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NPI Code Detail

MEDICARE: GABRIELLA BLANCO ROIG

MEDICARE:   GABRIELLA BLANCO ROIG
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770423436
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA BLANCO ROIG
Provider Business Mailing Address
First Line : 9972 SW 125TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33176-4820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7969
Country : US
Telephone Number : 561-733-5933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 04/06/2026

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Directions to “ GABRIELLA BLANCO ROIG ” Practice Location

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