Provider Demographics
NPI:1437301082
Name:ROMAN, HECTOR (DVM)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:
Last Name:ROMAN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5400
Mailing Address - Country:US
Mailing Address - Phone:305-225-5838
Mailing Address - Fax:
Practice Address - Street 1:200 W PARK DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5400
Practice Address - Country:US
Practice Address - Phone:305-225-5838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM10089174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian