Maria J Alicea

Individual provider Active NPI Pharmacist · Rio Piedras, PR

NPI 1376677039 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376677039
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
3758 (PR)
Practice address
1228 Calle 9 Esq52
Reparto Metropolitano
Rio Piedras, PR 00921-4235
Phone
(787) 758-8497
Fax
(787) 759-8192
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3758PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medic Pharmacy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3758 PR Yes

Addresses

Primary practice location

1228 Calle 9 Esq52
Reparto Metropolitano
Rio Piedras, PR 00921-4235

Mailing address

206 Calle Tocantis
Rio Piedras Heights
San Juan, PR 00926-3219
Phone (787) 758-6901

Other providers in Rio Piedras, PR

All providers in Rio Piedras, PR · Pharmacist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.