Mr. Jose S Fuentes Roman, PA
Student in an Organized Health Care Education/Training Program in Arecibo, Puerto Rico
1376129809- Practice location
- 531 Ave Miramar, Arecibo, PR 00612-4360
- Phone
- 787-817-1383
- Fax
- —
- Last updated
- June 7, 2026
Jose Samuel Fuentes Roman is a Student in an Organized Health Care Education/Training Program based in Arecibo, PR. Jose Samuel Fuentes Roman practices in Arecibo, PR and has the professional credentials of PA. The NPI Number for Jose Samuel Fuentes Roman is 1376129809 and holds a License No. 021-P.A. (PR). The current practice location address for Jose Samuel Fuentes Roman is 531 Ave Miramar, Arecibo, PR 00612-4360 and can be reached out via phone at 787-817-1383.
Provider Profile Details
- NPI Number
- 1376129809
- Provider Name
- Jose Samuel Fuentes Roman
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 531 Ave Miramar, Arecibo, PR 00612-4360
- Phone Number
- 787-817-1383
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2021
- Last Update Date
- June 7, 2026
- Certification Date
- June 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 531 Ave Miramar
Arecibo, PR 00612-4360 - City
- Arecibo
- State
- Puerto Rico
- Zip
- 00612-4360
- Phone Number
- 787-817-1383
Provider Business Mailing Address Details
- Address
- Po Box 3102
Arecibo, PR 00613-3102 - City
- Arecibo
- State
- PR
- Zip
- 00613-3102
- Phone Number
- 787-363-0228
License Information
- License Number (1)
- 021-P.A.
- License State (1)
- PR
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 17746-I
- License State (2)
- PR
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Arecibo, PR
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Frequently Asked Questions
What is the NPI number of Mr. Jose S Fuentes Roman, PA?
The NPI number of Mr. Jose S Fuentes Roman, PA is 1376129809. It was assigned on March 23, 2021 and is currently active in the NPPES registry.
What is the specialty of Mr. Jose S Fuentes Roman, PA?
Mr. Jose S Fuentes Roman, PA is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 021-P.A..
Where does Mr. Jose S Fuentes Roman, PA practice?
The practice location is 531 Ave Miramar, Arecibo, PR 00612-4360. The office can be reached at 787-817-1383 (phone).
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 1376129809 directly on the NPPES registry website.