Individual
DR. JOSE ANGEL ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
# 349 FELISA RINCON AVE., SUITE # 205, SAN JUAN, PR 00926
(787) 999-6973
(787) 999-6973
Mailing address
909 CALLE ALAMEDA, VILLA GRANADA, SAN JUAN, PR 00923-2719
(787) 999-6973
(787) 999-6973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1910
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000-06
CRUZ AZUL
PR
01
—
41860
SSS
PR
01
—
961-1000
HUMANA
PR
Enumeration date
08/08/2006
Last updated
10/19/2016
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