Ilsia Alicea-Pou, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1101 Issued in PR

Practice address

Ave. Hostos 1034 Ponce, P.R. 00716-1415
Ponce, PR 00716-1415

Phone

(787) 843-9393

Fax

(787) 284-4228

NPI assigned

Jun 3, 2014

Last updated

Jun 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147

  Nutritionist

  Medicare reassignment NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Villalba, PR
  • NPI 1538432042
  NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1487067831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APARTADO 220 MERCEDITA P.R. 00715-0220",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161415",
            "telephone_number": "787-843-9393",
            "fax_number": "787-284-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. HOSTOS 1034 PONCE, P.R. 00716-1415",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161415",
            "telephone_number": "787-843-9393",
            "fax_number": "787-284-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA-POU",
        "first_name": "ILSIA",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Alfaro
• Katiria B Alfaro
• Melissa Algarin Colon
• Niurka Alicea Jimenez, M.D.
• Viviana M Alicea Robles
• Lourdes Alicea-Rodriguez, PHARM D.
• Zoe Alicea, M.D.
• Alivia Infusion Services LLC (Alivia Infusion Services)
• Jorge Almodovar Capielo, MSW
• Jaira Marie Almodovar Medina, PSYD

• Nutritionist in Ponce, PR
• Providers in Ponce, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.