Individual
HEIDI MARIE PEREZ ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR 123 KM 9.8 SECT. COMERCIAL LAS DELICIAS, CLINICA FAMILIAR LAS DELICIAS, PONCE, PR 00728
(787) 841-4626
Mailing address
PO BOX 10225, PONCE, PR 00732-0225
(787) 841-4626
(787) 284-7675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16650
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16650
LICENCE
PR
Enumeration date
05/23/2007
Last updated
04/14/2020
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