| Idamaris Alicea, MD | |
| 
					Carr. 111 Km 22.2, Lares, PR 00669  | |
| (787) 897-6802 | |
| Not Available | 
| Full Name | Idamaris Alicea | 
|---|---|
| Gender | Female | 
| Speciality | General Practice | 
| Location | Carr. 111 Km 22.2, Lares, Puerto Rico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609896281 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 16087 (Puerto Rico) | Primary | 
| Entity Name | Centro De Salud De Lares Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417907502 PECOS PAC ID: 0840272985 Enrollment ID: O20040603000147  | 
| Entity Name | Centro De Salud De Lares Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235179532 PECOS PAC ID: 0840272985 Enrollment ID: O20050411001067  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Idamaris Alicea, MD Po Box 211, Lares, PR 00669-0211 Ph: (787) 897-6802  | Idamaris Alicea, MD Carr. 111 Km 22.2, Lares, PR 00669 Ph: (787) 897-6802  | 
Juan Pablo Ruiz-valle, MD General Practice Medicare: Medicare Enrolled Practice Location: Carr 111 Km 1.9 Ave. Los Patriotas, Lares, PR 00669 Phone: 787-897-2727  | |
Dr. Luis A. Pagan Cortes, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Urb. Villa Borinquen, Buzon 372, Lares, PR 00669 Phone: 787-449-0099 Fax: 787-817-3759  | |
Natalia Soto Ruiz, M. D. General Practice Medicare: Medicare Enrolled Practice Location: Hc 2 Box 6756, Lares, PR 00669 Phone: 787-201-0195  | |
Dr. Francisco Antonio Garrastegui, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: Calle Munoz Rivera, #23, Lares, PR 00669 Phone: 787-280-7022  | |
Dr. Baltazar Rodriguez Cruz Iv,  General Practice Medicare: Accepting Medicare Assignments Practice Location: Lares Medical Center Hospitales, Carr 111 Km 2.9 Bo Pueblo, Lares, PR 00669 Phone: 787-897-1444 Fax: 787-897-4952  | |
Geraldo Gonzalez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: Carr 129 Km 21.2, Lares, PR 00669 Phone: 787-897-0560  | |
Cesar H Medina Quinones, MD General Practice Medicare: Medicare Enrolled Practice Location: Road 111 Km 1.9, Ave Los Pariotas, Lares, PR 00669 Phone: 787-897-2727 Fax: 787-897-2725  |