ALICE BLAVO D.O.
NPI 1053309617
Pediatrics - Pediatric Cardiology in Coral Gables, FL

Q: What is Alice Blavo's NPI number?

The NPI number for Alice Blavo is 1053309617. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Q: What is Alice Blavo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Alice Blavo was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 07, 2005PECOS Enrolled

5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 662-8668(305) 662-3723 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alice Blavo D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE BLAVO D.O. (NPI 1053309617) is an individual pediatric cardiology provider in Coral Gables, Florida, licensed in Florida (OS7055) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053309617

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameALICE BLAVOCredential: D.O.

Location Address5955 PONCE DE LEON BLVDCoral Gables, FL 33146-2423

Mailing Address5955 Ponce De Leon BlvdCoral Gables, FL 33146-2423 · (305) 662-8668 · Fax (305) 662-3723

Phone(305) 662-8668

Fax(305) 662-3723

Sole ProprietorNo

Enumeration DateOctober 7, 2005

Last NPPES UpdateMarch 25, 2014

✔ NPI 1053309617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in FL · OS7055

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License OS7055 (FL)

5955 PONCE DE LEON BLVD, Coral Gables, FL 33146

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Other Identifiers 1

Medicaid263661700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Blavo D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NAURI ESTEFANI ABREU ROA M.D.

Pediatrics (Neonatal-Perinatal Medicine)