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Individual

ISABEL ROMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH D

Contact information

Practice address
EDIPICIO JUAN BURGOS, CARR #2 KM 4-5 BO CANTERAS, MANATI, PR 00674
(787) 641-0774
(787) 641-0776
Mailing address
PO BOX 71474, APS PROVIDER DEPARTMENT, SAN JUAN, PR 00936-8574
(787) 641-0774
(787) 641-0776

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001403
PR

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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