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Contact Information

JOSE A ALICEA, MD
2559 MEDICAL DR STE 3100
ALAMOGORDO, NM88310-8703
 Phone: 575-446-5700
 Fax: 888-987-7176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOSE A ALICEA · (Male)

NPI # 1144200106
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2006
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 46783
  • NM License # 97-2
  • TX License # J6846
  • AZ Medicaid 779513
  • NM Medicaid 96026359
  • TX Medicaid 124214102
Hospital affiliation(s)
  • CARONDELET ST MARYS HOSPITAL - (Acute Care)
    1601 WEST ST MARY'S ROAD
    TUCSON, AZ 85745
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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