Provider Demographics
NPI:1447217435
Name:ROMAN, SYLVIA M (PSY D)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:M
Last Name:ROMAN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 12472
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-8235
Mailing Address - Country:US
Mailing Address - Phone:787-349-6627
Mailing Address - Fax:
Practice Address - Street 1:100 CALLE CALAZAN LASALLE
Practice Address - Street 2:EDIF. PLAZA NOROESTE STE. # 3
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4178
Practice Address - Country:US
Practice Address - Phone:787-349-6627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2295103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical