Active NPIIndividual providerSole proprietor

Dr. Eliseo Roman, DMD

Dentist in Naranjito, Puerto Rico

NPI Number1174576367
Practice location
Road 164 Ramal Km. 0.2, Box 924, Naranjito, PR 00719-0924
Fax
787-869-5333
Last updated
October 23, 2024

Eliseo Roman is a Dentist based in Naranjito, PR. Eliseo Roman practices in Naranjito, PR and has the professional credentials of DMD. The NPI Number for Eliseo Roman is 1174576367 and holds a License No. 1034 (PR). The current practice location address for Eliseo Roman is Road 164 Ramal Km. 0.2, Box 924, Naranjito, PR 00719-0924 and can be reached out via phone at 787-299-9377 and via fax at 787-869-5333.

Provider Profile Details

NPI Number
1174576367
Provider Name
Eliseo Roman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Road 164 Ramal Km. 0.2, Box 924, Naranjito, PR 00719-0924
Phone Number
787-299-9377
Fax Number
787-869-5333
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 18, 2006
Last Update Date
October 23, 2024
Certification Date
October 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Road 164 Ramal Km. 0.2
Box 924
Naranjito, PR 00719-0924
Zip
00719-0924
Phone Number
787-299-9377
Fax Number
787-869-5333
Naranjito, PR 00719Get directions →

Provider Business Mailing Address Details

Address
Po Box 924
Naranjito, PR 00719-0924
City
Naranjito
State
PR
Zip
00719-0924
Phone Number
787-299-9377
Fax Number
787-869-5333

License Information

License Number
1034
License State
PR
Taxonomy
Dentist · 122300000X · 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 Dr. Eliseo Roman, DMD?

The NPI number of Dr. Eliseo Roman, DMD is 1174576367. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eliseo Roman, DMD?

Dr. Eliseo Roman, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in PR under license number 1034.

Where does Dr. Eliseo Roman, DMD practice?

The practice location is Road 164 Ramal Km. 0.2, Box 924, Naranjito, PR 00719-0924. The office can be reached at 787-299-9377 (phone) or 787-869-5333 (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 1174576367 directly on the NPPES registry website.

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