Provider Demographics
NPI:1881626182
Name:BLANCO-CUADRA, ROLANDO J (MD)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:J
Last Name:BLANCO-CUADRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 AVE PALMA REAL
Mailing Address - Street 2:APT 1111
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-7206
Mailing Address - Country:US
Mailing Address - Phone:787-671-1371
Mailing Address - Fax:787-671-1371
Practice Address - Street 1:1 AVE PALMA REAL
Practice Address - Street 2:MURANO APT 1111
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-7201
Practice Address - Country:US
Practice Address - Phone:787-671-1371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15982207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine