Provider Demographics
NPI:1548074008
Name:O'NEILL CUBANO, LILIANA ALEXANDRA (MS, OT/L)
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:ALEXANDRA
Last Name:O'NEILL CUBANO
Suffix:
Gender:F
Credentials:MS, OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H27 CALLE 6
Mailing Address - Street 2:URB. RIBERAS DEL RIO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-679-8878
Mailing Address - Fax:
Practice Address - Street 1:LOCAL 1 CARR. 175 KM 13.1
Practice Address - Street 2:BO. CUEVAS
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-235-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1382225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist