Provider Demographics
NPI:1013985423
Name:BICCHI, LILIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:
Last Name:BICCHI
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:EDIFICIO MEDICO SANTA CRUZ # 73
Mailing Address - Street 2:SANTA CRUZ STREET SUITE 414
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-778-4558
Mailing Address - Fax:787-780-4868
Practice Address - Street 1:EDIF MEDICO SANTA CRUZ
Practice Address - Street 2:SANTA CRUZ STREET SUITE 414
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6910
Practice Address - Country:US
Practice Address - Phone:787-778-4558
Practice Address - Fax:787-780-4868
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9543174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist