Individual
PEDRO C ROMAN EYXARCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARIMED PLAZA, SUITE 309 CALLE SANTA CRUZ B1, BAYAMON, PR 00961
(787) 740-4465
(787) 785-2680
Mailing address
PO BOX 1617, BAYAMON, PR 00959
(787) 740-4465
(787) 785-2680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11804
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060607
CRUZ AZUL
—
01
—
1111981
ACAA
—
01
—
212102
PREFFERED HEALTH
—
01
—
2251
INTERNATIONAL MEDICAL CAR
—
01
—
3106
PREFFERED MEDICARE CHOICE
—
01
—
89556
TRIPLE S
—
Enumeration date
01/02/2007
Last updated
10/12/2012
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