Provider Demographics
NPI:1730662586
Name:HERNANDEZ BLANCO, YLLEN YARETH (MD)
Entity type:Individual
Prefix:DR
First Name:YLLEN
Middle Name:YARETH
Last Name:HERNANDEZ BLANCO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 127
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8011
Mailing Address - Country:US
Mailing Address - Phone:321-841-4344
Mailing Address - Fax:321-842-4784
Practice Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 127
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8011
Practice Address - Country:US
Practice Address - Phone:321-841-4344
Practice Address - Fax:321-842-4784
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2025-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME173992207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL127140200Medicaid