Luisa Alicea, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

654 Issued in PR

Practice address

Urb Santa Rosa Ave Main
Bloque 43 #13
Bayamon, PR 00959

Phone

(787) 740-7850

Fax

(787) 740-1074

NPI assigned

Feb 26, 2007

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1306972310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LA ARBOLEDA",
            "address_2": "APT. 2702",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-740-7850",
            "fax_number": "787-740-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA ROSA AVE MAIN",
            "address_2": "BLOQUE 43 #13",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-740-7850",
            "fax_number": "787-740-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "654",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aharhel Emilio Alicea Rosas, MD
• Nelymar Alicea Santiago
• Tatiana M Alicea-Reyes
• Digmarie Antonia Alicea-Santana, PH.D.
• Jannette Alicea
• Alivio Natural Puerto Rico
• All-Star Chiropractic, PSC
• Neal Benjamin Allen, RPSGT
• Ricardo J Almodovar Colon
• Mariana Almodovar, M.A.

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.