| Doctor Name: | MRS. ELIZABETH ALICEA |
| NPI Number: | 1134318405 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MEDICAL TECHNOLOGIST |
| License Number: | 2395 |
| Business Practice Address: | Jr1 Calle Lizzie Graham Toa Baja, PR - 009493637 |
| Business Phone Number: | 7874483109 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6157, SAN JUAN |
| State: | PR |
| Postal Code: | 009146157 |
| Phone Number: | 7874483109 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247ZC0005X |
| License Number: | 2395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Clinical Laboratory Director, Non-physician |
| Taxonomy Definition: | An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |