Doctor Name: | DR. ROSA B. LICHA-DE-BECERRA |
NPI Number: | 1033421128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 6813 |
Business Practice Address: | S3-4 Calle 3 Villas De Parana San Juan, PR - 009266047 |
Business Phone Number: | 7872872637 |
Business Fax Number: | |
Mailing Address: | S3-4 Calle 3, Villas De Parana SAN JUAN |
State: | PR |
Postal Code: | 009266047 |
Phone Number: | 7872872637 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2010 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |