Individual provider · NPI-1
Dr. Jose C Blanco, Psy.D.
Counselor, Mental Health · Guaynabo, PR
NPI number1043593023
StatusActive
Last updated in NPPESFeb 21, 2015
Details
- NPI
- 1043593023
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jose C Blanco
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2011
- Last updated
- Feb 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Carlo Blanco (Professional Name)
Practice location
B5 Calle Tabonuco Ste 203Galeria San Patricio
Guaynabo, PR 00968-3004
Phone 787-906-9696
Mailing address
B5 Calle Tabonuco Ste 203Galeria San Patricio
Guaynabo, PR 00968-3004
Phone 787-906-9696
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