Provider Demographics
NPI:1326408949
Name:BLASINI RODRIGUEZ, BARBARA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:MARIE
Last Name:BLASINI RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOCAL # 2 CARR.21, #U3-1
Mailing Address - Street 2:URB. LAS LOMAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921
Mailing Address - Country:US
Mailing Address - Phone:656-203-1287
Mailing Address - Fax:
Practice Address - Street 1:LOCAL #2, CARR. 21
Practice Address - Street 2:#U3-1, URB LAS LOMAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:656-203-1287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022060207Q00000X
FLME146701207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14029IOtherINTERN LICENSE