Individual
JAN C ROMAN ITHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
392 SUR RAMON EMETERIO BETANCES, MAYAGUEZ, PR 00680
(787) 833-5890
Mailing address
PO BOX 3633, MAYAGUEZ, PR 00681-3633
(787) 833-5890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
18502
PR
2084P0802X
Addiction Psychiatry Physician
Primary
18502
PR
Other
Enumeration date
09/03/2009
Last updated
02/21/2017
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