Rosalina Alicea Ortiz

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA#40D0972366 Issued in PR

Legal business name

ROSALINA ALICEA ORTIZ

Practice address

Carr 181 KM 23
Barrio Celada
Gurabo, PR 00778

Phone

(787) 712-0455

Fax

(787) 712-0455

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rosalina Alicea, MT MEDICAL TECHNOLOG

Title

Supervisor and Owner

Phone

(787) 712-0455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1447323605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 DAKOTA",
            "address_2": "SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-712-0455",
            "fax_number": "787-712-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 181 KM 23",
            "address_2": "BARRIO CELADA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-712-0455",
            "fax_number": "787-712-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALINA ALICEA ORTIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "ROSALINA",
        "authorized_official_title_or_position": "SUPERVISOR AND OWNER",
        "authorized_official_telephone_number": "787-712-0455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT MEDICAL TECHNOLOG"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "CLIA#40D0972366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Rondon Roman
• Jarice Rosa Aponte, MD
• Andres Javier Rosa Rivera
• Reynaldo Rosa Vega, DMD
• William David Rosado, PHARMD
• Eugenio Enrique Roura-Ortiz, M.D.
• RS Medical Group, PSC
• S & M Physical Rehabilitation PSC
• Pedro Sanabria, MD
• Mynneliz Sanchez Ayala

• Clinical Medical Laboratory in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.