Provider Demographics
NPI:1437936341
Name:ROMAN, CARIDAD MITREI (PHL/SLP)
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:MITREI
Last Name:ROMAN
Suffix:
Gender:F
Credentials:PHL/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 CALLE SOLDADO S LIBRAN
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-3216
Mailing Address - Country:US
Mailing Address - Phone:787-920-3587
Mailing Address - Fax:
Practice Address - Street 1:427 CALLE SOLDADO S LIBRAN
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3216
Practice Address - Country:US
Practice Address - Phone:787-920-3587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4501235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist