Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marielis Pedroza Alicea, MD

Individual provider General Practice Physician · NPI 1619133782

Marielis Pedroza Alicea, MD is a General Practice in Kissimmee, Florida. Qualified in 2006, 20 years ago. Practices with Medical Home Alliance, LLC, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Puerto Rico.

Years since qualifying
20
Licensed in
FL, PR
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3372 W Southport Rd
Kissimmee, FL 34746-2706
Phone: (407) 933-7900
Fax: (321) 437-0072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1222 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 17243 (PR)

Record details

NPI number1619133782
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 29, 2008
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Medical Home Alliance, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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