| Doctor Name: | DR. JAVIER J. ALICEA MELENDEZ |
| NPI Number: | 1679809917 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MEDICINE DOCTOR |
| License Number: | 17721 |
| Business Practice Address: | Ave. Pedro Albizu Campos Urb. La Hacienda Hospital San Lucas Guayama Guayama, PR - 00784 |
| Business Phone Number: | 7878644300 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 66, ARROYO |
| State: | PR |
| Postal Code: | 007140066 |
| Phone Number: | 7876155739 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2009 |
| NPI Last Update Date: | 10/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17721 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |