Provider Demographics
NPI:1497075006
Name:ROMAN, JOSE ALFREDO (RT)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ALFREDO
Last Name:ROMAN
Suffix:
Gender:M
Credentials:RT
Other - Prefix:
Other - First Name:THERAPY
Other - Middle Name:SERVICES
Other - Last Name:SOLUTIONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:C/ CARACAS #J-257 URB.EXT. FOREST HILLS
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:939-232-8759
Mailing Address - Fax:
Practice Address - Street 1:C/ CARACAS #J-257 URB.EXT. FOREST HILLS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:939-232-8759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4748-1227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered