Provider Demographics
NPI:1558582551
Name:ROMAN, FELIX ALBERTO (DR)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:ALBERTO
Last Name:ROMAN
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB-40 RR-5 BOX 4999
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9708
Mailing Address - Country:US
Mailing Address - Phone:787-313-6399
Mailing Address - Fax:
Practice Address - Street 1:EDIF. SECTOR EL MEDIO
Practice Address - Street 2:RES. LUIS LLORENS TORRES
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913
Practice Address - Country:US
Practice Address - Phone:787-268-1680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2088103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical