Provider Demographics
NPI:1326259839
Name:ROMAN, LUZ J (MT)
Entity Type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:J
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
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Mailing Address - Street 1:URB DOMENECH
Mailing Address - Street 2:259 CALLE ARIES
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662
Mailing Address - Country:US
Mailing Address - Phone:787-830-2707
Mailing Address - Fax:787-830-0465
Practice Address - Street 1:AVE AGUSTIN RAMOS CALERO
Practice Address - Street 2:737
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-830-2707
Practice Address - Fax:787-830-0465
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5081246QL0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management