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

Marlene Bonilla Alicea, DPM

Individual provider Podiatrist · NPI 1588856546

Marlene Bonilla Alicea, DPM is a Podiatry in Richfield, Minnesota. Graduated from New York College of Podiatric Medicine in 2005, 21 years ago. Practices with Active Feet, Foot and Ankle Health Center, an 18-clinician group and accepts Medicare assignment. Licensed in Minnesota and New York.

Years since qualifying
21
Trained at
New York College of Podiatric Medicine
Licensed in
MN, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673
Phone: (612) 788-8778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 1016 (MN)
Podiatrist Taxonomy 213E00000X · Licence N006419-1 (NY)

Record details

NPI number1588856546
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Active Feet, Foot And Ankle Health Center — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richfield