Provider Demographics
NPI:1699905208
Name:BLANCO-FRANCO, ALEJANDRO (MD)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:BLANCO-FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEJANDRO
Other - Middle Name:
Other - Last Name:BLANCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8805 TAMIAMI TRL N # 105
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2525
Mailing Address - Country:US
Mailing Address - Phone:787-918-5818
Mailing Address - Fax:239-596-8793
Practice Address - Street 1:1726 MEDICAL BLVD STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1426
Practice Address - Country:US
Practice Address - Phone:239-596-8804
Practice Address - Fax:239-596-8793
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27599174400000X
PR18412208D00000X, 207R00000X
FLME 114378207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR27599OtherHOSPITAL REGIONAL DE BAYAMON
FLME 114378OtherFLORIDA DEPARTMENT OF HEALTH
PR18412OtherJUNTA DE LICENCIAMIENTO Y DISCPLIA MEDICA
PR28484OtherJUNTA DE LICENCIAMIENTO Y DISCPLIA MEDICA
PR27599OtherJUNTA DE LICENCIAMIENTO Y DISCPLIA MEDICA
PR18412OtherJUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA