Individual
MRS. MAYRA LUZ ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
CASIA, 20, SAN JUAN, PR 00927
(787) 641-7582
Mailing address
SAGITARIO, FM 12 IRLANDA HEIGHTS, BAYAMON, PR 00956
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1193
PR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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