| Liciaga Llc | |
|
1219 Calle Julian Bengochea Urb San Martin San Juan PR 00924-4445 | |
| (787) 980-3414 | |
| Not Available |
| Full Name | Liciaga Llc |
|---|---|
| Speciality | General Practice |
| Location | 1219 Calle Julian Bengochea, San Juan, Puerto Rico |
| Authorized Official Name and Position | Sylmarie A Liciaga (PRESIDENT) |
| Authorized Official Contact | 7879803414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liciaga Llc 1219 Calle Julian Bengochea San Juan PR 00924-4445 Ph: (787) 980-3414 | Liciaga Llc 1219 Calle Julian Bengochea Urb San Martin San Juan PR 00924-4445 Ph: (787) 980-3414 |
| NPI Number | 1972453991 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 01/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972453991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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