Doctor Name: | MR. CESAR AUGUSTO ROMAN |
NPI Number: | 1750513875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | 3428 |
Business Practice Address: | 5504 36th Ct E Apt 204 Ellenton, FL - 342228324 |
Business Phone Number: | 3057906325 |
Business Fax Number: | |
Mailing Address: | 5504 36th Ct E, Apt 204 ELLENTON |
State: | FL |
Postal Code: | 342228324 |
Phone Number: | 3057906325 |
Fax Number: | |
NPI Enumeration Date: | 08/24/2009 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 3428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |