Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ruperto Divino Blanco Jr., MD

Individual provider Family Medicine Physician · NPI 1790736643

Dr. Ruperto Divino Blanco Jr., MD is a Family Medicine Physician in Wyoming, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5838 Metro Way SW
Wyoming, MI 49519-9619
Phone: (616) 249-5300
Fax: (616) 249-5410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4038 Alpine Ave Nw, Comstock Park, MI 49321 — (616) 827-2020

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301076807 (MI)

Record details

NPI number1790736643
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

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