Healthcare Provider Details

I. General information

NPI: 1518218890
Provider Name (Legal Business Name): LILIANA M GUZMAN-BICCHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRE 9921 KM0.3 AVE ANIBAL GARCIA PENA PQE IND TEJAS LOTE 8
LAS PIEDRAS PR
00771
US

IV. Provider business mailing address

CARRE 9921 KM 0.3 AVE ANIBAL GARCIA PENA PARQ IND TEJAS LOTE 8
LAS PIEDRAS PR
00771
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-8182
  • Fax:
Mailing address:
  • Phone: 787-739-8182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19565
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: