DR. RUPERTO DIVINO JR. BLANCO (MD) – Family Medicine Physician, NPI 1790736643
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. RUPERTO DIVINO JR. BLANCO (MD)
4038 Alpine Ave NW
Comstock Park, MI 49321
Phone: (616) 827-2020
Fax: (616) 827-2052
Type: Location
Metro Way Southwest, Wyoming, Kent County, Michigan, 49518, United States
WYOMING, MI 495199619
Phone: (616) 249-5300
Fax: (616) 249-5410
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-27
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49321)
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