Edgardo Gonzalez Bianchi, MT

Individual provider Active NPI Medical Technologist · Morovis, PR

NPI 1578833935 · NPPES record last updated Feb 12, 2016

Key facts

NPI
1578833935
Entity type
Individual (NPI type 1)
Primary specialty
Medical Technologist 246QM0706X
License
CO3287 (PR)
Practice address
Carr 155 KM 51.2
Morovis, PR 00687
Phone
(787) 390-5834
NPI assigned
Jan 3, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
CO3287PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgardo Gonzalez Bianchi Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X CO3287 PR Yes

Addresses

Primary practice location

Carr 155 KM 51.2
Morovis, PR 00687

Mailing address

20 Vista del Valle
Manati, PR 00674-4970
Phone (787) 390-5834

Other names

  • Dba Laboratorio Clinico Torrecillas Professional name

Other providers in Morovis, PR

All providers in Morovis, PR · Medical Technologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.