Idamaris Alicea, M.D. Valid NPI

Individual provider · General Practice Physician · Lares, PR

NPI

1609896281

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

16087 (PR)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-07-19

Last updated

2007-07-08