JENNIFER C LIQUIDO (NPI# 1316903842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316903842 |
| Entity Type | Individual |
| Full Name | JENNIFER C LIQUIDO |
| Credential | M.D. |
| Practice Address |
38 Deak Dr Smyrna DE 19977-1268 |
| Practice Telephone | 3026535201 |
| Practice Fax Number | 3026536029 |
| Mailing Telephone | 3026535201 |
| Mailing Fax Number | 3026536029 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
C1 0007064 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
38 DEAK DR |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407811821 | Ma Caridad Purisima Rosal | Family Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-19 |
| 1093342420 | Tanisha Lafayette | Nurse Practitioner | 38 Deak Dr, Smyrna, DE 19977-1268 | 2020-03-25 |
| 1093886897 | Sma Internal Medicine & Endocrinology LLC | Internal Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-11-13 |
| 1043391709 | Sma Pediatrics, LLC | Pediatrics | 38 Deak Dr, Smyrna, DE 19977 | 2006-10-18 |
| 1528152469 | Rufino V Rosal | Internal Medicine | 38 Deak Dr, Smyrna, DE 19977 | 2006-10-03 |
| 1063478386 | Vicenta G Marquez | Family Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-25 |
| 1659336782 | Blanca N. Ocampo-lim | Internal Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-20 |
| 1841255247 | Sma Medicine, LLC | Family Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407811821 | Ma Caridad Purisima Rosal | Family Medicine | 38 Deak Dr, Smyrna, DE 19977-1268 | 2006-04-19 |
| 1093050098 | Clinton Earl Glass Sr. | Family Medicine | 51 Deak Dr, Suite 1 First Fl., Smyrna, DE 19977-1268 | 2012-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356547277 | Adele Patricia Ashley-axon | Family Medicine | 309 Pentland Dr, Wilmington, DE 19807-1046 | 2007-06-26 |
| 1083753370 | Joseph Black | Family Medicine | Perdue 20621 Savannah Rd, Georgetown, DE 19947-1499 | 2007-02-05 |
| 1720067747 | Charles A Stanislav | Family Medicine | 34435 King Street Row, Suite 1, Lewes, DE 19958-4787 | 2006-01-10 |
| 1861476533 | Margot Waitz | Family Medicine | 1401 Foulk Rd, Wilmington, DE 19803-2763 | 2005-12-05 |
| 1619951068 | Christiana Care Health Services, Inc | Family Medicine | 1401 Foulk Rd, Suite 100b, Wilmington, DE 19803-2763 | 2005-11-30 |
Please comment or provide details below to improve the information on JENNIFER C LIQUIDO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.