Dr. Ivan Raul Alicea, Psicologo
Psychologist, Clinical in Mayaguez, PR. Individual provider (NPI-1).
NPI number1306098504
StatusActive
Last updated in NPPESOct 21, 2008
Details
- NPI
- 1306098504
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivan Raul Alicea
- Credential
- Psicologo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2008
- Last updated
- Oct 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2517 | PR | Yes |
Practice location
Centro Salud Mental De Mayaguez410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522
Phone 787-831-3714 · Fax 787-831-3714
Mailing address
Quintas De Cabo Rojo #168Calle Cisne
Cabo Rojo, PR 00623
Phone 787-254-0277 · Fax 787-831-3714
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