Healthcare Provider Details

I. General information

NPI: 1356958029
Provider Name (Legal Business Name): JUANITA SAENZ BILBAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 19TH ST NW STE 702
WASHINGTON DC
20036-3747
US

IV. Provider business mailing address

1145 19TH ST NW STE 702
WASHINGTON DC
20036-3747
US

V. Phone/Fax

Practice location:
  • Phone: 202-918-2284
  • Fax:
Mailing address:
  • Phone: 202-918-2284
  • Fax: 202-808-9352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP500023463
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024194006
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2336320
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: