Provider Demographics
NPI:1134447261
Name:ROMAN, HERMES J (TEM)
Entity type:Individual
Prefix:MR
First Name:HERMES
Middle Name:J
Last Name:ROMAN
Suffix:
Gender:M
Credentials:TEM
Other - Prefix:MR
Other - First Name:HERMES
Other - Middle Name:J
Other - Last Name:ROMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TEM
Mailing Address - Street 1:CARR 111 KM 28.2 INT 451 BO ENEAS
Mailing Address - Street 2:HC-03 BOX 37124
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-361-3429
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KM 28.2 INT 451 BO ENEAS
Practice Address - Street 2:HC-03 BOX 37124
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-361-3429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3192P146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic