Individual
MR. JONATHAN GABRIEL ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PASEO DR. JOSE CELSO BARBOSA, SAN JUAN, PR 00921
(787) 758-2525
Mailing address
URB. VILLA NEVAREZ CALLE 3 1117, SAN JUAN, PR 00927
(787) 210-3413
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23647
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/05/2020
Last updated
05/20/2024
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