Provider Demographics
NPI:1568893600
Name:ALICEA VALENTIN, SIGFREDO ANTONIO (PT)
Entity Type:Individual
Prefix:MR
First Name:SIGFREDO
Middle Name:ANTONIO
Last Name:ALICEA VALENTIN
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:400 ROOSEVELT AVENUE SUITE 407
Mailing Address - Street 2:CLINICA LAS AMERICAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1156
Mailing Address - Country:US
Mailing Address - Phone:787-274-0527
Mailing Address - Fax:787-764-7963
Practice Address - Street 1:400 ROOSEVELT AVENUE SUITE 407
Practice Address - Street 2:CLINICA LAS AMERICAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1156
Practice Address - Country:US
Practice Address - Phone:787-274-0527
Practice Address - Fax:787-764-7963
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist