MEDICARE: NICOLE ALCAZAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	13955	PR

General Provider Information

NPI Number	:	1881534519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ALCAZAR

Provider Business Mailing Address
First Line	:	C 443 BLQ 181 N36 VILLA CAROLINA
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00985
Country	:	US
Telephone Number	:	787-344-4877
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE. MUNOZ RIVERA 402 URB. EL VEDADO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-344-4877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ NICOLE ALCAZAR ” Practice Location

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