Provider Demographics
NPI:1578617775
Name:GUILBEE, LILLIAM M (MD)
Entity Type:Individual
Prefix:
First Name:LILLIAM
Middle Name:M
Last Name:GUILBEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:U11 CALLE LEILA ESTE
Mailing Address - Street 2:CUARTA SECCION
Mailing Address - City:LEVITTOWN
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4618
Mailing Address - Country:US
Mailing Address - Phone:787-869-8708
Mailing Address - Fax:
Practice Address - Street 1:CARR 152 KM 12 6
Practice Address - Street 2:BARRIO CEDRO ARRIBA
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-869-9336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5135208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice