Provider Demographics
NPI:1700484334
Name:ALAMEDA BLANCO, HECMARIE
Entity type:Individual
Prefix:
First Name:HECMARIE
Middle Name:
Last Name:ALAMEDA BLANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 19875
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-9676
Mailing Address - Country:US
Mailing Address - Phone:787-245-1171
Mailing Address - Fax:
Practice Address - Street 1:101 ST KM 10.7
Practice Address - Street 2:BO. LLANOS
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-9998
Practice Address - Country:US
Practice Address - Phone:787-245-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR81605163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty