Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 11342 | PR |
NPI | 1043377393 |
---|---|
Provider Name | Dr. Jose L Romany Rodriguez |
First Address | San Juan, PR 00936-4901 |
Second Address | Rio Piedras, PR 00926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 09/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I26183 | (02) | PR |