Omar Enrique Alicea-Velez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5756 Issued in PR

Practice address

104 Calle Andres Arus Rivera W
Gurabo, PR 00778-2318

Phone

(787) 687-7900

NPI assigned

Mar 1, 2017

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Instituto Cognosis L3C

  • Clinical Psychologist
  • Caguas, PR
  • NPI 1588220115
  NPD (past)
• Puerto Rico Community for Clinical Services, Research and Health

  dba PR CoNCRA

  • Multi-Specialty Clinic/Center
  • Rio Piedras, PR
  • NPI 1396776472
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1699215376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. MONTE ALTO #156 CALLE EL CACIQUE",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007784081",
            "telephone_number": "787-384-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CALLE ANDRES ARUS RIVERA W",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007782318",
            "telephone_number": "787-687-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 164 KM 6.2",
            "address_purpose": "LOCATION",
            "city": "Naranjito",
            "state": "PR",
            "postal_code": "007190673",
            "country_code": "US",
            "telephone_number": "787-909-4408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALICEA-VELEZ",
        "first_name": "OMAR",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4065",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Vaccine Center
• Advanced Life System LLC
• Javier Aguayo
• Natalia Cristina Albarracin Marrero, MS CCC-SLP
• Albita S Lab Corporation
• Iliana Alicea
• Alpha Physician Group Corp
• Jean Carlos Alvarez Gonzalez, MD
• Provimely Alvarez, M.D.
• Reina Andujar

• Clinical Psychologist in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.