Luis F Alicea, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DN16121 Issued in FL

Practice address

7352 Stonerock Cir
Suite a
Orlando, FL 32819-8000

Phone

(407) 351-0575

Fax

(407) 363-6945

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Orofacial & Dental Implant Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Orlando, FL
  • NPI 1972609055
  Medicare reassignment
• Precision Dental Group LLC

  • Dentist
  • Tampa, FL
  • NPI 1326594516
  NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1144320474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7352 STONEROCK CIR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-351-0575",
            "fax_number": "407-363-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7352 STONEROCK CIR",
            "address_2": "SUITE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-351-0575",
            "fax_number": "407-363-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "LUIS",
        "middle_name": "F",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "FL",
            "license": "DN16121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Alicea-Aloyo
• Lenis Jannil Alicea-Yildirim, PT,MED
• Annaliese Luz Alicea, COTA
• Carlos Rene Alicea Jr., SLP-A
• Karymar Alicea
• Maisie Alicea
• Safeyah Lazeena Alie
• Rosa Alifonso, BA
• Rosalind Marie Alifonso
• Aligma Logistics LLC

• Oral and Maxillofacial Pathology Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• Oral and Maxillofacial Pathology Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.