Individual
DR. JOSE C ROMAN CARLO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 NTE MEDICO IV OFNA 210, MAYAGUEZ, PR 00680
(787) 805-5705
(787) 805-4895
Mailing address
PO BOX 3418, MAYAGUEZ, PR 00681-3418
(787) 805-4895
(787) 805-4895
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7202
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062205
CRUZ AZUL
—
01
—
28859
TRIPLE-S
—
Enumeration date
11/04/2005
Last updated
12/20/2010
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