Individual provider Active NPI

Edgardo Gonzalez Bianchi, MT

  • Medical Technologist
  • Morovis, PR
National Provider Identifier
1578833935
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
CO3287 Issued in PR
Practice address
Carr 155 KM 51.2
Morovis, PR 00687
Phone
(787) 390-5834
NPI assigned
Jan 3, 2012
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

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

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 1

  • Dba Laboratorio Clinico Torrecillas Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
CO3287PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgardo Gonzalez Bianchi Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1578833935",
    "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": "787-390-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 155 KM 51.2",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-390-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ BIANCHI",
        "first_name": "EDGARDO",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "CO3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DBA",
            "last_name": "CLINICO TORRECILLAS",
            "middle_name": "LABORATORIO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.