Individual
JUAN C ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE STE 214, LITTLE ROCK, AR 72205-5304
(501) 476-3914
Mailing address
500 S UNIVERSITY AVE STE 214, LITTLE ROCK, AR 72205-5304
(501) 476-3914
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-1764
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
E-1764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050060897
RAILROAD MEDICARE (LRPM)
AR
01
—
050060898
RAILROAD MEDICARE
AR
05
—
134483001
—
AR
01
—
171973300
US DEPT. OF LABOR OWCP
AR
01
—
172478000
US DOL OWCP (LRPM)
AR
01
—
1792000020
QUAL CHOICE (LRPM)
AR
01
—
5K805
BLUE CROSS BLUE SHIELD
AR
01
—
71033532430
QUAL CHOICE
AR
01
—
770132401
ARKANSAS BREASTCARE
AR
01
—
S01847
NOVASYS
AR
Enumeration date
09/27/2005
Last updated
09/14/2018
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