Active NPIIndividual providerSole proprietor

Bethzaida Matias Roman, MT

Clinical Medical Laboratory in Aguada, Puerto Rico

NPI Number1043526791
Practice location
Street 417 Km 4.2, Bo Mamey, Aguada, PR 00602-2023
Fax
787-868-3884
Last updated
August 19, 2010

Bethzaida Matias Roman is a Clinical Medical Laboratory based in Aguada, PR. Bethzaida Matias Roman practices in Aguada, PR and has the professional credentials of MT. The NPI Number for Bethzaida Matias Roman is 1043526791 and holds a License No. 40D2007082 (PR). The current practice location address for Bethzaida Matias Roman is Street 417 Km 4.2, Bo Mamey, Aguada, PR 00602-2023 and can be reached out via phone at 787-868-3884 and via fax at 787-868-3884.

Provider Profile Details

NPI Number
1043526791
Provider Name
Bethzaida Matias Roman
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
Street 417 Km 4.2, Bo Mamey, Aguada, PR 00602-2023
Phone Number
787-868-3884
Fax Number
787-868-3884
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2010
Last Update Date
August 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Street 417 Km 4.2
Bo Mamey
Aguada, PR 00602-2023
City
Aguada
Zip
00602-2023
Phone Number
787-868-3884
Fax Number
787-868-3884
Aguada, PR 00602Get directions →

Provider Business Mailing Address Details

Address
Po Box 2023
Aguada, PR 00602-2023
City
Aguada
State
PR
Zip
00602-2023
Phone Number
787-868-3884
Fax Number
787-868-3884

License Information

License Number (1)
40D2007082
License State (1)
PR
License Number (2)
6334
License State (2)
PR
Taxonomy (2)
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethzaida Matias Roman, MT?

The NPI number of Bethzaida Matias Roman, MT is 1043526791. It was assigned on August 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Bethzaida Matias Roman, MT?

Bethzaida Matias Roman, MT is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in PR under license number 40D2007082.

Where does Bethzaida Matias Roman, MT practice?

The practice location is Street 417 Km 4.2, Bo Mamey, Aguada, PR 00602-2023. The office can be reached at 787-868-3884 (phone) or 787-868-3884 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043526791 directly on the NPPES registry website.

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