Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Sergio R Gonzalez Mansilla, HAD

Individual provider Hearing Instrument Specialist · NPI 1568256931

Mr. Sergio R Gonzalez Mansilla, HAD is a Hearing Instrument Specialist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

4720 E State Blvd
Fort Wayne, IN 46815-6923
Phone: (260) 471-5693
Fax: (260) 471-4942
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence 17001630A (IN)

Record details

NPI number1568256931
Entity typeIndividual (Type 1)
GenderMale
Credentials HAD
Sole proprietorYes
NPI enumeratedApril 8, 2025
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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