# AIXA M. ROMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821219296
- **Authorized official:** MRS. ELIZABETH LOPEZ (ADMINISTRADORA)
- **Authorized official phone:** (787) 785-9282

## Contact information

- **Practice address:** P12 AVE MAGNOLIA, BAYAMON, PR 00956-2608
- **Practice address phone:** (787) 785-9282
- **Mailing address:** D27 CALLE PALOMA, URB. LAS GAVIOTAS, TOA BAJA, PR 00949-3471
- **Mailing address phone:** (787) 646-8145
- **Mailing address fax:** (787) 785-9290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020