LICIAGA LLC – NPI #1972453991
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

LICIAGA LLC is a provider located in SAN JUAN, PR. NPPES has assigned the NPI number 1972453991 to LICIAGA LLC on January 29, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LICIAGA LLC below.

NPI Profile for
LICIAGA LLC

NPI Number
1972453991
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LICIAGA LLC
Primary location
1219 CALLE JULIAN BENGOCHEA
URB SAN MARTIN
SAN JUAN, PR 00924-4445
Phone: (787) 980-3414 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SYLMARIE LICIAGA
PRESIDENT
Phone: (787) 980-3414
Updated
Certification Date
Jan 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.