Active NPI
Alfredo Alicea
- Pharmacy Technician
- Sabana Grande, PR
National Provider Identifier
1164688719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 6277
- Practice address
- #54 Calle Parque Susua Baja
Sabana Grande, PR 00637 - Phone
- (787) 265-3330
- Fax
- (787) 831-6716
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 6277 | PR | Primary |
Addresses
Primary practice location
#54 Calle Parque Susua Baja
Sabana Grande, PR 00637
Mailing address
#54 Calle Parque Susua Baja
Sabana Grande, PR 00637
Phone (787) 265-3330
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6277 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1164688719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#54 CALLE PARQUE SUSUA BAJA",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "00637",
"telephone_number": "787-265-3330",
"fax_number": "787-831-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#54 CALLE PARQUE SUSUA BAJA",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "00637",
"telephone_number": "787-265-3330",
"fax_number": "787-831-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALICEA",
"first_name": "ALFREDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "6277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sabana Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.