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Individual

NICOLE M ROMAN MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
68 CALLE JOSE CELSO BARBOSA CARR 198 KM 22.4, AREA INDUSTRIAL CENTRO DIAGNOSTICO Y TRATAMIENTO, LAS PIEDRAS, PR 00771-9998
(787) 484-5791
Mailing address
QUINTAS REALES G-5 REY JORGE V, GUAYNABO, PR 00969
(787) 221-4446

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1326
PR

Other

Enumeration date
02/09/2024
Last updated
02/11/2026
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