Provider Demographics
NPI:1356695415
Name:BILBAO, CECILIA B (LM)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:B
Last Name:BILBAO
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 NW 106TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-2801
Mailing Address - Country:US
Mailing Address - Phone:305-586-5619
Mailing Address - Fax:954-688-2999
Practice Address - Street 1:1771 NW 106TH TER
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-2801
Practice Address - Country:US
Practice Address - Phone:305-586-5619
Practice Address - Fax:954-688-2999
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-28
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MW107176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife