1. Home
  2. Directory
  3. NPI Profile

IDAMARIS ALICEA M.D.
NPI 1609896281
General Practice in Lares, PR

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
CARR. 111 KM 22.2, LARES, PR 00669(787) 897-6802 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Idamaris Alicea M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAMARIS ALICEA M.D. (NPI 1609896281) is an individual general practice provider in Lares, Puerto Rico, licensed in Puerto Rico (16087) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1609896281
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameIDAMARIS ALICEACredential: M.D.
Location AddressCARR. 111 KM 22.2Lares, PR 00669
Mailing AddressPo Box 211Lares, PR 00669-0211 · (787) 897-6802
Phone(787) 897-6802
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609896281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 16087
Definition
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
CARR. 111 KM 22.2, Lares, PR 00669
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Idamaris Alicea M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587816822
PECOS Enrollment IDI20121212000379
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Idamaris Alicea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De Lares, Inc.
Federally Qualified Health Center (FQHC)
ROAD 111 KM 1.9, LOS PATRIOTAS AVE.
Lares, PR 00669
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Also billed through NPI 1235179532 (Puerto Rico)
  • 43 clinicians in this Medicare group
NPI 1417907502 (787) 897-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idamaris Alicea's NPI number?

The NPI number for Idamaris Alicea is 1609896281. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Idamaris Alicea located?

Idamaris Alicea practices at Carr. 111 Km 22.2, Lares, PR 00669. The listed phone number is (787) 897-6802.

What is Idamaris Alicea's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Idamaris Alicea enrolled in Medicare?

Yes. Idamaris Alicea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Idamaris Alicea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Idamaris Alicea reassigns Medicare benefits to Centro De Salud De Lares, Inc. (Lares, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Idamaris Alicea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Idamaris Alicea was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.