Provider Demographics
NPI:1669458238
Name:GO-MALIWANAG, CELIA ABELEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:ABELEDA
Last Name:GO-MALIWANAG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CELIA
Other - Middle Name:ABELEDA
Other - Last Name:GO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8013 ETIENNE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6027
Mailing Address - Country:US
Mailing Address - Phone:361-993-2405
Mailing Address - Fax:361-993-2405
Practice Address - Street 1:10651 E ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419-5130
Practice Address - Country:US
Practice Address - Phone:361-961-6000
Practice Address - Fax:361-961-2399
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9542208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics