Healthcare Provider Details

I. General information

NPI: 1932683562
Provider Name (Legal Business Name): JOSUE ALEJANDRO OCASIO TAPIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 40.9 BO ALGARROBO
VEGA BAJA PR
00693-0000
US

IV. Provider business mailing address

PO BOX 1084
MANATI PR
00674-1084
US

V. Phone/Fax

Practice location:
  • Phone: 787-716-7890
  • Fax:
Mailing address:
  • Phone: 787-246-2167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number22860
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: