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Individual

DANIEL ROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
AVENUE 181 STREET 745 K.M 5.4 ESPINO MORENA, HC 30 BOX 33610, SAN LORENZO, PR 00754-9737
(787) 736-8834
Mailing address
AVENUE 181 STREET 745 K.M 5.4 ESPINO MORENA, HC 30 BOX 33610, SAN LORENZO, PR 00754-9737

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
843
PR

Other

Enumeration date
08/19/2010
Last updated
08/19/2010
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