IndividualActive
Jarred Alicea
NPI 1215866611 · Radiologic Technologist · Austin, TX
Provider details
- NPI number
- 1215866611
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- GMR02011530 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
15 Waller St
Austin, TX 78702-5240
Phone: (512) 972-5460
Approximate (ZIP-level) locationGet directions
Mailing address
217 Briarcliff Dr
San Antonio, TX 78213-1936
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.