Juan A Alicea-Rolon, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

07928 Issued in PR

Practice address

Calle Dr Isaac Gonzalez Esquina Ledesma
Anexo Hospital Metropolitano
Utuado, PR 00641-2635

Phone

(787) 933-2000

Fax

(787) 930-2520

NPI assigned

Oct 25, 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Ipar LLC

  • Interventional Cardiology Physician
  • Utuado, PR
  • NPI 1558038471
  Medicare reassignment NPD
• Morgantown Internal Medicine Group Inc

  • Specialist
  • Morgantown, WV
  • NPI 1972687705
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1740364587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARROYO BEACH RESORT",
            "address_2": "APT 15",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140000",
            "telephone_number": "787-930-2520",
            "fax_number": "787-848-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR ISAAC GONZALEZ ESQUINA LEDESMA",
            "address_2": "ANEXO HOSPITAL METROPOLITANO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412635",
            "telephone_number": "787-933-2000",
            "fax_number": "787-930-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA-ROLON",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "07928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G1788A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javier Acevedo Rodriguez, 1292P
• Jose M Acevedo Rodriguez, MD
• Carmen M Acevedo, RPH
• Sonia Camit Albarran
• Alexis Sepulveda
• Daismar Amador, MSW
• Maria M Aquino, RPH
• Yivet M Aquino, RPH
• Astrid L Arce Ramos, M.D.
• Ferdinand Arce Santiago, PHD

• Interventional Cardiology Physician in Utuado, PR
• Providers in Utuado, PR by specialty
• Interventional Cardiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.