Provider Demographics
NPI:1295232080
Name:ROMAN, ARIAM Z (MASTER SOCIAL WORK)
Entity Type:Individual
Prefix:MISS
First Name:ARIAM
Middle Name:Z
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MASTER SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URBANIZACION DELGADO
Mailing Address - Street 2:N25 CALLE 15
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-930-7288
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION DELGADO
Practice Address - Street 2:N25 CALLE 15
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-930-7288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23218104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23218OtherTRABAJO SOCIAL