Individual
MR. NELSON ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
CLINICAL LAS VEGAS, CARR #2 KM 46.4 EDIF. LAS VEGAS 420, MANATI, PR 00674
(787) 854-7021
(787) 854-7021
Mailing address
PMB 103, 425 CARR. 693 STE 1, DORADO, PR 00646-9817
(787) 262-3007
(787) 854-7021
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1212
PR
225100000X
Physical Therapist
Primary
1212
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039100100
—
PR
Enumeration date
11/07/2006
Last updated
11/03/2021
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