| Doctor Name: | MR. CARLOS M ROMAN |
| NPI Number: | 1134266596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10069 |
| Business Practice Address: | Carr 185 Km 5.5 Bo Campo Rico Canovanas, PR - 007299704 |
| Business Phone Number: | 7878862570 |
| Business Fax Number: | |
| Mailing Address: | Hc 2 Box 6560, Bo Campo Rico CANOVANAS |
| State: | PR |
| Postal Code: | 007299704 |
| Phone Number: | 7878764514 |
| Fax Number: | 7878766707 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10069 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |