MEDICARE: DR. ALICIA LITCHFIELD M.D.

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	207W00000X	Ophthalmology Physician	16293	PR

General Provider Information

NPI Number	:	1154307270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA LITCHFIELD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 260303
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2621
Country	:	US
Telephone Number	:	787-632-4448
Fax Number	:

Provider Business Practice Location Address
First Line	:	959 AVE AMERICO MIRANDA
Second Line	:	URB REPARTO METROPOLITANO
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2801
Country	:	US
Telephone Number	:	787-751-0103
Fax Number	:

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	12/08/2025

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