| Doctor Name: | CARLOS LUIS ROMAN |
| NPI Number: | 1265663421 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 17651 |
| Business Practice Address: | Pr-111 Km. 13.8 San Sebastian, PR - 00685 |
| Business Phone Number: | 7872806397 |
| Business Fax Number: | 7872806397 |
| Mailing Address: | Po Box 3691, GUAYNABO |
| State: | PR |
| Postal Code: | 009703691 |
| Phone Number: | 7873815797 |
| Fax Number: | 7877903973 |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 02/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |