Doctor Name: | MR. EDGARDO GONZALEZ BIANCHI |
NPI Number: | 1578833935 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MT |
License Number: | CO3287 |
Business Practice Address: | Carr 155 Km 51.2 Morovis, PR - 00687 |
Business Phone Number: | 7873905834 |
Business Fax Number: | |
Mailing Address: | 20 Vista Del Valle, MANATI |
State: | PR |
Postal Code: | 006744970 |
Phone Number: | 7873905834 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 02/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | CO3287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |