Individual
MR. JOSE M. ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
CARR 2 KM 126.4, BO CAIMITAL BAJO, AGUADILLA, PR 00603
(787) 882-3230
Mailing address
HC 6 BOX 176933, SAN SEBASTIAN, PR 00685-9810
(939) 777-8615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
550
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550
OT
PR
05
—
550
—
PR
Enumeration date
05/01/2019
Last updated
05/01/2019
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