LICIAGA LLC NPI 1972453991

NPI Information

  • NPI: 1972453991
  • Provider Name: LICIAGA LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1219 CALLE JULIAN BENGOCHEA
    URB SAN MARTIN
    SAN JUAN, PR
    ZIP 00924
  • Phone: (787) 980-3414

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NPI Details

LICIAGA LLC is a general practice in San Juan, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LICIAGA LLC NPI is 1972453991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1219 CALLE JULIAN BENGOCHEA
URB SAN MARTIN
SAN JUAN, PR
ZIP 00924-445
Phone: (787) 980-3414

The provider's authorized official is Sylmarie A Liciaga .
The authorized official title is President and has the following contact phone number (787) 980-3414.

The enumeration date for this NPI number is 1/29/2026 and was last updated on 1/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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