Individual
MRS. MARIA M ROMAN CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED
Contact information
Practice address
DR. BASORA 55-N, EDIFICIO MEDICO IV -210, MAYAGUEZ, PR 00680
(787) 210-1102
Mailing address
PO BOX 185, CABO ROJO, PR 00623-0185
(787) 222-9129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
004711
PR
103TC1900X
Counseling Psychologist
Primary
004711
PR
174H00000X
Health Educator
004711
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004711
LICENSE
PR
Enumeration date
08/16/2013
Last updated
09/24/2024
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