Provider Demographics
NPI:1386463529
Name:ALICEA ROSAS, AHARHEL EMILIO (MD)
Entity type:Individual
Prefix:DR
First Name:AHARHEL
Middle Name:EMILIO
Last Name:ALICEA ROSAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 CALLE ALEGRIA
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-8421
Mailing Address - Country:US
Mailing Address - Phone:787-359-6386
Mailing Address - Fax:
Practice Address - Street 1:78 CALLE ALEGRIA
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-8421
Practice Address - Country:US
Practice Address - Phone:787-359-6386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR009PA363AM0700X
PR1149146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic