Individual provider Active NPI

Cristobal Gonzalez-Bianchi, D.M.D.

  • General Practice Dentistry
  • Hatillo, PR
National Provider Identifier
1235113705
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1597 Issued in PR
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812006223 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799090320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1597PRMDGeneral Practice Dentistry
1597PRMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D1597 PR Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.