Individual provider Active NPI

Antonio Francisco Arrieta Alicea, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1407351489
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22245 Issued in PR
Practice address
9615 Ave Los Romeros Ste 301
San Juan, PR 00926-7068
Phone
(787) 244-5043
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22245 PR Primary

Addresses

Primary practice location

9615 Ave Los Romeros Ste 301
San Juan, PR 00926-7068

Mailing address

9615 Ave Los Romeros Suite 301
San Juan, PR 00926-7068
Phone (787) 244-5043

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22245PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1407351489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 AVE LOS ROMEROS SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267068",
            "telephone_number": "787-244-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 AVE LOS ROMEROS STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267068",
            "telephone_number": "787-244-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIETA ALICEA",
        "first_name": "ANTONIO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "9615 Ave Los Romeros Ste 301",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009267068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.