Individual
BETHZAIDA MATIAS ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
STREET 417 KM 4.2, BO MAMEY, AGUADA, PR 00602-2023
(787) 868-3884
(787) 868-3884
Mailing address
PO BOX 2023, AGUADA, PR 00602-2023
(787) 868-3884
(787) 868-3884
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
40D2007082
PR
291U00000X
Clinical Medical Laboratory
Primary
6334
PR
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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