Organization Active NPI

Edgardo Gonzalez Bianchi

Doing business as Laboratorio Clinico Torrecillas

  • Clinical Medical Laboratory
  • Morovis, PR
National Provider Identifier
1457609265
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1262 Issued in PR
Legal business name
EDGARDO GONZALEZ BIANCHI
Doing business as
Laboratorio Clinico Torrecillas
Practice address
Carr PR 155 KM 51.2
Bo Torrecillas
Morovis, PR 00687-2425
Phone
(787) 862-9900
NPI assigned
Aug 28, 2012
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edgardo Gonzalez-Bianchi, MTNPI 1578833935
Title
Owner
Phone
(787) 862-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1262 PR Primary

Addresses

Primary practice location

Carr PR 155 KM 51.2
Bo Torrecillas
Morovis, PR 00687-2425

Mailing address

20 Vista del Valle
Manati, PR 00674-4970
Phone (787) 862-9900

Other names 1

  • LABORATORIO CLINICO TORRECILLAS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000111 PR Part B Supplier - Independent Clinical Laboratory 3577718410 Practice locations: Morovis, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1457609265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VISTA DEL VALLE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744970",
            "telephone_number": "787-862-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 155 KM 51.2",
            "address_2": "BO TORRECILLAS",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006872425",
            "telephone_number": "787-862-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARDO GONZALEZ BIANCHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-BIANCHI",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-862-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO TORRECILLAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.