| Doctor Name: | MR. ROBERTO L ROMAN |
| NPI Number: | 1124126800 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 332B00000X-DURABLE M |
| Business Practice Address: | 201 N. Bingham Ave Ste 4 Somerton, AZ - 853503640 |
| Business Phone Number: | 9287226004 |
| Business Fax Number: | 9287226005 |
| Mailing Address: | 201 N. Bingham Ave, Ste 4 / P.o.box 3640 SOMERTON |
| State: | AZ |
| Postal Code: | 853503640 |
| Phone Number: | 9287226004 |
| Fax Number: | 9287226005 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 332B00000X-DURABLE M |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |