Organization
DRA. ROSA I. ROMAN CARLO, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA I. ROMAN CARLO (INTERNAL MEDICINE PULMONARY)
(787) 467-6080
Entity
Organization
Contact information
Practice address
55 CALLE DR BASORA N, EDIF MEDICO IV OFICINA 210, MAYAGUEZ, PR 00680-4810
(787) 210-1102
Mailing address
55 CALLE DR BASORA N, EDIF MEDICO IV OFICINA 210, MAYAGUEZ, PR 00680-4810
(787) 210-1102
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9009
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82453
MEDICARE
—
Enumeration date
09/25/2013
Last updated
09/25/2013
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