Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 7756 | PR |
NPI | 1063434264 |
---|---|
Provider Name | Orlando Marini Roman |
First Address | Aguadilla, PR 00605-5218 |
Second Address | Aguadilla, PR 00603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 21/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C77673 | (02) | PR |