Alicea, Wanda

Alicea, Wanda is an individual health care provider with primary practice located at 99 Guillermo Riefkohl St. , Patillas PR 00723. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Alicea, Wanda can be contacted via phone (787) 839-4320.

Contact Information

Primary practice address
99 Guillermo Riefkohl St. Patillas PR 00723
Fax: (787) 271-0004
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 031176 Pennsylvania

Profile Details

NPI number 1871703660
LBN Legal business name Alicea, Wanda
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871703660 NPPES
Puerto Rico Other 031176 STATE LICENSE

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