Individual provider Active NPI

Ricardo Alicea-Guevara, M.D.

  • Nephrology Physician
  • Guaynabo, PR
National Provider Identifier
1083027007
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19763 Issued in PR
Practice address
Guaynabo Medical Mall, Suite 106, 140 Av. Las Cumbres
Guaynabo, PR 00969
Phone
(787) 710-2532
NPI assigned
Jun 6, 2014
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19763 PR
Nephrology Physician 207RN0300X 19763 PR Primary

Addresses

Primary practice location

Guaynabo Medical Mall, Suite 106, 140 Av. Las Cumbres
Guaynabo, PR 00969

Mailing address

Guaynabo Medical Mall, Suite 106, 140 Av. Las Cumbres
Guaynabo, PR 00969
Phone (787) 710-2532

Other practice location 1

Juncos Plaza Shopping Center, Km 24.1 PR-31
Juncos, PR 00777
Phone (787) 710-2532 ext. 8401

Other practice location 2

A la Orden Shopping Center 2nd Fl 600, 2821 PR-167
Toa Baja, PR 00949
Phone (787) 710-2532 ext. 8201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016003697 PR Practitioner - NephrologyPractitioner - Internal Medicine 2062743388 Reassigns benefits to 3 organizations
Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corredor Azul Integral LLCGroup PAC ID 0749700888, 5 clinicians

Practice addresses (Care Compare)

400 Ave Franklin D Roosevelt
Suite 101
San Juan, PR 00918-2129
Phone (787) 789-1996

River Town Plaza Local B
50 Ave. Los Filtros Bo Juan Sanchez
Bayamon, PR 00959-0095
Phone (787) 378-9001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19763PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc Nephrology Current Accepting new patients
Corredor Azul Integral LLC CurrentSince May 8, 2025 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Oct 1, 2022 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 29, 2021 Accepting new patients
Clinica Las Americas Guaynabo, Inc Nephrology CurrentSince Oct 1, 2022 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 29, 2021 Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

50 Ave Los Filtros
Bayamon, PR 00959
Phone (787) 378-9001

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

Interoperability endpoints

  • Direct secure messaging: ricardo.aliceaguevara@1468.securemail.prognocis.com
  • Direct secure messaging: ricardo.aliceaguevara@4048.securemail.prognocis.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1083027007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUAYNABO MEDICAL MALL, SUITE 106, 140 AV. LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-710-2532",
            "fax_number": "787-274-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAYNABO MEDICAL MALL, SUITE 106, 140 AV. LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Juncos Plaza Shopping Center, Km 24.1 PR-31",
            "address_purpose": "LOCATION",
            "city": "Juncos",
            "state": "PR",
            "postal_code": "00777",
            "country_code": "US",
            "telephone_number": "787-710-2532 x8401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "A la Orden Shopping Center 2nd Fl 600, 2821 PR-167",
            "address_purpose": "LOCATION",
            "city": "Toa Baja",
            "state": "PR",
            "postal_code": "00949",
            "country_code": "US",
            "telephone_number": "787-710-2532 x8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALICEA-GUEVARA",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19763",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.