Juan B Liceaga Sanchez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14526 Issued in PR

Practice address

7124 Avenida Agustin Ramos Calero
Isabela, PR 00662-2419

Phone

(787) 872-4141

Fax

(787) 872-4141

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Policlinica del Atlantico Corp

  • Emergency Care Clinic/Center
  • Isabela, PR
  • NPI 1619074440
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1689600678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ISABELA BEACH CT",
            "address_2": "APT. 244",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622418",
            "telephone_number": "787-872-4141",
            "fax_number": "787-872-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 AVENIDA AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622419",
            "telephone_number": "787-872-4141",
            "fax_number": "787-872-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICEAGA SANCHEZ",
        "first_name": "JUAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrio J Lamela
• Ethel C Lamela, M.D.
• Victor M Lasalle, M.D.
• Lynnette Lebron
• Lelimar Corchado Alcaide
• Lionfish Medical Clinic PSC
• Sofia Nicole Lomba Guzman, PSYD
• Crimilda Longoria
• Norelys Marie Lopez Acevedo
• Abigail Lopez Diaz, M.D.

• General Practice Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.