Provider Demographics
NPI:1134848914
Name:ROMAN, ASTRID SIBEL (SLP)
Entity type:Individual
Prefix:MISS
First Name:ASTRID
Middle Name:SIBEL
Last Name:ROMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PORTAL DE LA REINA AVE. MONTE CARLOS
Mailing Address - Street 2:APT. 195
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-972-0713
Mailing Address - Fax:
Practice Address - Street 1:URB. VEREDAS CALLE 2
Practice Address - Street 2:CASA 103
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-972-0713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6652461235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist