LUIS MANUEL BLANCO FNP-C LLC
NPI 1487123774
Nurse Practitioner in Miramar, FL

Q: What is Luis Manuel Blanco Fnp-C LLC's NPI number?

The NPI number for Luis Manuel Blanco Fnp-C LLC is 1487123774. It was assigned to this organization in the NPPES registry on November 16, 2018.

Q: What is Luis Manuel Blanco Fnp-C LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 16, 2018

2979 SW 134TH AVE, MIRAMAR, FL 33027(305) 720-9730 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Luis Manuel Blanco Fnp-c Llc NPPES

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

LUIS MANUEL BLANCO FNP-C LLC (NPI 1487123774) is a healthcare organization registered as a nurse practitioner in Miramar, Florida and active in the NPI registry since November 2018. The organization lists Luis Blanco, President, as its authorized official.

NPPES Registry Identity

NPI1487123774

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameLUIS MANUEL BLANCO FNP-C LLC

Location Address2979 SW 134TH AVEMiramar, FL 33027-3915

Mailing Address2979 Sw 134th AveMiramar, FL 33027-3915 · (305) 720-9730

Phone(305) 720-9730

Organization SubpartNo

Authorized OfficialLuis BlancoPresident · (305) 720-9730

Enumeration DateNovember 16, 2018

✔ NPI 1487123774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2979 SW 134TH AVE, Miramar, FL 33027

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Manuel Blanco Fnp-c Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Luis Manuel Blanco Fnp-C LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Luis Blanco, ARNP-C

Nurse Practitioner

NPI 1790134641

1995 E OAKLAND PARK BLVD STE 250
Ft Lauderdale, FL 33306

(615) 657-4805

✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Manuel Blanco Fnp-C LLC's NPI number?

The NPI number for Luis Manuel Blanco Fnp-C LLC is 1487123774. It was assigned to this organization in the NPPES registry on November 16, 2018.

Where is Luis Manuel Blanco Fnp-C LLC located?

Luis Manuel Blanco Fnp-C LLC is located at 2979 SW 134th Ave, Miramar, FL 33027. The listed phone number is (305) 720-9730.

What is Luis Manuel Blanco Fnp-C LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Luis Manuel Blanco Fnp-C LLC enrolled in Medicare?

Yes. Luis Manuel Blanco Fnp-C LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luis Manuel Blanco Fnp-C LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Luis Manuel Blanco Fnp-C LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Luis Manuel Blanco Fnp-C LLC was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.