Individual provider Active NPI

Cecilia Marvilla Liangco, MD

  • General Practice Physician
  • Lake Worth, FL
National Provider Identifier
1972580280
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME28111 Issued in FL
Practice address
4821 Blue Pine Cir
Lake Worth, FL 33463-7237
Phone
(561) 735-7733
Fax
(561) 735-7739
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME28111 FL Primary

Addresses

Primary practice location

4821 Blue Pine Cir
Lake Worth, FL 33463-7237

Mailing address

625 SE 2ND Ave
Suite B
Boynton Beach, FL 33435-5065
Phone (561) 735-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME28111FLMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972580280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SE 2ND AVE",
            "address_2": "SUITE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355065",
            "telephone_number": "561-735-7733",
            "fax_number": "561-735-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 BLUE PINE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637237",
            "telephone_number": "561-735-7733",
            "fax_number": "561-735-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANGCO",
        "first_name": "CECILIA",
        "middle_name": "MARVILLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME28111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.