Provider Demographics
NPI:1154307270
Name:LITCHFIELD, ALICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:
Last Name:LITCHFIELD
Suffix:
Gender:F
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:EST DEL BLVD
Mailing Address - Street 2:APT 4D-7 BOX 28
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9570
Mailing Address - Country:US
Mailing Address - Phone:787-760-3951
Mailing Address - Fax:
Practice Address - Street 1:EST DEL BLVD
Practice Address - Street 2:BOX 28
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9570
Practice Address - Country:US
Practice Address - Phone:787-760-3951
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16293207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology