Provider Demographics
NPI:1134353659
Name:EGUIGUREN, MARIA CECILIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CECILIA
Last Name:EGUIGUREN
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 1:3800 RESERVOIR RD NW BLDG 3
Mailing Address - Street 2:DEPARTMENT OF OBGYN
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-8531
Mailing Address - Fax:187-754-4775
Practice Address - Street 1:3800 RESERVOIR RD NW PHC BLDG 3RD FLOOR
Practice Address - Street 2:DEPARTMENT OF OBGYN
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-8531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD041680207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology