Albert Alicea, RPH

Individual provider Active NPI Pharmacist · Guayanilla, PR

NPI 1750448288 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750448288
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
3673 (PR)
Practice address
#129 Luis Munoz Rivera
Guayanilla, PR 00656-1504
Phone
(787) 835-3525
Fax
(787) 835-1125
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3673PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacia la Ventana Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3673 PR Yes

Addresses

Primary practice location

#129 Luis Munoz Rivera
Guayanilla, PR 00656-1504

Mailing address

K-5 Riverside
San German, PR 00683
Phone (787) 892-6763

Other providers in Guayanilla, PR

All providers in Guayanilla, PR · Pharmacist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.