Provider Demographics
NPI:1508569591
Name:ROMAN, BARBARA J (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HATILLO DEL MAR
Mailing Address - Street 2:CALLE CARMELO RODRIGUEZ E-10
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659
Mailing Address - Country:US
Mailing Address - Phone:787-669-4099
Mailing Address - Fax:
Practice Address - Street 1:HATILLO DEL MAR
Practice Address - Street 2:CALLE CARMELO RODRIGUEZ E-10
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-669-4099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR135961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4272696OtherLICENCIA DE CONDUCIR
PR4272696OtherLICENCIA