Provider Demographics
NPI:1134879166
Name:ROMAN OLIVERAS, VERONICA ALEXANDRA
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ALEXANDRA
Last Name:ROMAN OLIVERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAN RAFAEL ESTATES II
Mailing Address - Street 2:241 CALLE BROMELIAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-4170
Mailing Address - Country:US
Mailing Address - Phone:787-603-0805
Mailing Address - Fax:
Practice Address - Street 1:SAN RAFAEL ESTATES II
Practice Address - Street 2:241 CALLE BROMELIAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-4170
Practice Address - Country:US
Practice Address - Phone:787-603-0805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program