| Doctor Name: | MRS. ELLIS AUDA ROMAN |
| NPI Number: | 1831308618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 13797 |
| Business Practice Address: | Metro Oficce Park Lote 18 Calle 1 Suite 400 Guaynabo, PR - 00968 |
| Business Phone Number: | 7878825450 |
| Business Fax Number: | 7878821125 |
| Mailing Address: | Po Box 8901, Postalmail Box 028 Postaloffice Box 8901 HATILLO |
| State: | PR |
| Postal Code: | 006599141 |
| Phone Number: | 7876324707 |
| Fax Number: | 7878821125 |
| NPI Enumeration Date: | 05/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13797 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |