Individual provider · NPI-1

Ruben Alicea Rodriguez, RN

Student in an Organized Health Care Education/Training Program · Bayamon, PR

NPI number1104724939
StatusActive
Last updated in NPPESOct 30, 2026

Details

NPI
1104724939
Entity type
Individual (NPI-1)
Name
Mr. Ruben Alicea Rodriguez
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 30, 2026
Certification date
Oct 30, 2026
Last updated
Oct 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–PRYes
163W00000X Registered Nurse080132PR

Practice location

Calle Manuel F, Rossy Esq. Isabel II
Bayamon, PR 00959

Phone 787-778-5354

Mailing address

B16 Calle 4
Gurabo, PR 00778-2305

Phone 939-272-0333

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