Basic Information
| Provider Information | |||||||||
| NPI: | 1811259781 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROMAN RAMOS | ||||||||
| FirstName: | JOSE | ||||||||
| MiddleName: | AUGUSTO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 CALLE MUNOZ RIVERA | ||||||||
| Address2: | |||||||||
| City: | ADJUNTAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006012202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878295112 | ||||||||
| FaxNumber: | 7878295118 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 TORRE SAN CRISTOBAL | ||||||||
| Address2: | |||||||||
| City: | COTO LAUREL | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007802849 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878408876 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2012 | ||||||||
| LastUpdateDate: | 07/04/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 18336 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207R00000X | 18336 | PR | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.