Provider Demographics
NPI:1932683562
Name:OCASIO TAPIA, JOSUE ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSUE
Middle Name:ALEJANDRO
Last Name:OCASIO TAPIA
Suffix:
Gender:M
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:PO BOX 1084
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1084
Mailing Address - Country:US
Mailing Address - Phone:787-246-2167
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY DISTR BO MONACILLOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-9111
Practice Address - Country:US
Practice Address - Phone:787-246-2167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15138207R00000X
390200000X
PR22860207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program