Active NPI
Cristobal Gonzalez-Bianchi, D.M.D.
- General Practice Dentistry
- Hatillo, PR
National Provider Identifier
1235113705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D1597
- Practice address
- Carr #2 KM 81.5
Suite 569
Hatillo, PR 00659-2801 - Phone
- (787) 879-5556
- Fax
- (787) 880-6901
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150812006223 | PR | Order and Referring Only - Oral Surgery | 5799090320 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1597 | PR | MD | General Practice Dentistry |
| 1597 | PR | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D1597 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Carr #2 KM 81.5
Suite 569
Hatillo, PR 00659-2801
Mailing address
P.O. Box 140098
Arecibo, PR 00614-0098
Phone (787) 879-5556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2008.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1235113705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 140098",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140098",
"telephone_number": "787-879-5556",
"fax_number": "787-880-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 KM 81.5",
"address_2": "SUITE 569",
"city": "HATILLO",
"state": "PR",
"postal_code": "006592801",
"telephone_number": "787-879-5556",
"fax_number": "787-880-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-BIANCHI",
"first_name": "CRISTOBAL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "D1597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.