| Doctor Name: | DR. NANCY BLAS |
| NPI Number: | 1629134952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16116 |
| Business Practice Address: | O26 Calle Palmera Brisas Del Mar Guayama, PR - 00784 |
| Business Phone Number: | 7875100807 |
| Business Fax Number: | |
| Mailing Address: | 6 St H #2 Estancias De Cerro Gordo, BAYAMON |
| State: | PR |
| Postal Code: | 00957 |
| Phone Number: | 7878640101 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |