Provider Demographics
NPI:1922098615
Name:SIRA, ROMEO CARRAMANZANA JR (DENTAL HYGIENIST)
Entity Type:Individual
Prefix:MR
First Name:ROMEO
Middle Name:CARRAMANZANA
Last Name:SIRA
Suffix:JR
Gender:M
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 561 BOX 388
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96310
Mailing Address - Country:US
Mailing Address - Phone:011-818-2779
Mailing Address - Fax:
Practice Address - Street 1:PSC 561 BOX 388
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96310
Practice Address - Country:US
Practice Address - Phone:011-818-2779
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist