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

Ernesto Antonio Blanco, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235669649

Ernesto Antonio Blanco, MD is a Student in an Organized Health Care Education/Training Program in Farmington, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2017
Specialties on file
2
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

801 W Maple St
Farmington, NM 87401-5630
Phone: (505) 609-2258
Fax: (505) 609-6074
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD2020-0675 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235669649
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2017
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing addressPo Box 844088, Dallas, TX 75284-4088

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