Individual
JUAN ALBERTO ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
CARR 149 KM 57.4, BO. TIERRA SANTA, VILLALBA, PR 00766-9862
(787) 847-9393
(787) 847-9292
Mailing address
HC 2 BOX 5171, VILLALBA, PR 00766-9862
(787) 847-9393
(787) 847-9292
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10808
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10808
LICENCIA
PR
Enumeration date
02/05/2016
Last updated
02/05/2016
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