MEDICARE: EDUARDO BIANCHI MELIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8063	PR

General Provider Information

NPI Number	:	1619757226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO BIANCHI MELIA

Provider Business Mailing Address
First Line	:	HC 3 BOX 9024
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00971-9737
Country	:	US
Telephone Number	:	787-368-2688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 CALLE LOIZA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00911-1813
Country	:	US
Telephone Number	:	787-728-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	10/02/2023

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Directions to “ EDUARDO BIANCHI MELIA ” Practice Location

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