Active NPIIndividual providerSole proprietor

Dr. Ivan R Alicea, PSICOLOGO

Psychologist, Clinical in Mayaguez, Puerto Rico

NPI Number1306098504
Practice location
Centro Salud Mental De Mayaguez, 410 Ave Hostos Suite 7, Mayaguez, PR 00682-1522
Fax
787-831-3714
Last updated
October 21, 2008

Ivan Raul Alicea is a Psychologist, Clinical based in Mayaguez, PR. Ivan Raul Alicea practices in Mayaguez, PR and has the professional credentials of PSICOLOGO. The NPI Number for Ivan Raul Alicea is 1306098504 and holds a License No. 2517 (PR). The current practice location address for Ivan Raul Alicea is Centro Salud Mental De Mayaguez, 410 Ave Hostos Suite 7, Mayaguez, PR 00682-1522 and can be reached out via phone at 787-831-3714 and via fax at 787-831-3714.

Provider Profile Details

NPI Number
1306098504
Provider Name
Ivan Raul Alicea
Credential
PSICOLOGO
Provider Entity Type
Individual
Gender
Male
Address
Centro Salud Mental De Mayaguez, 410 Ave Hostos Suite 7, Mayaguez, PR 00682-1522
Phone Number
787-831-3714
Fax Number
787-831-3714
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2008
Last Update Date
October 21, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
Centro Salud Mental De Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522
Zip
00682-1522
Phone Number
787-831-3714
Fax Number
787-831-3714
Mayaguez, PR 00682Get directions →

Provider Business Mailing Address Details

Address
Quintas De Cabo Rojo #168
Calle Cisne
Cabo Rojo, PR 00623
City
Cabo Rojo
State
PR
Zip
00623
Phone Number
787-254-0277
Fax Number
787-831-3714

License Information

License Number
2517
License State
PR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivan R Alicea, PSICOLOGO?

The NPI number of Dr. Ivan R Alicea, PSICOLOGO is 1306098504. It was assigned on October 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan R Alicea, PSICOLOGO?

Dr. Ivan R Alicea, PSICOLOGO is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 2517.

Where does Dr. Ivan R Alicea, PSICOLOGO practice?

The practice location is Centro Salud Mental De Mayaguez, 410 Ave Hostos Suite 7, Mayaguez, PR 00682-1522. The office can be reached at 787-831-3714 (phone) or 787-831-3714 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306098504 directly on the NPPES registry website.

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