NPI 1174981336

Wildalys Roman

Practitioner Other Technician Hatillo, PR

Practice location

Address: 16 Avenida Dr, Susoni, Hatillo, PR 00659
Phone: (787) 898-4190
Mailing address: 16 Avenida Dr. Susoni, Hatillo, PR 00659

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 8695 (PR)

Other Technician, Other providers in Puerto Rico →

Registry record

NPI: 1174981336
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2016
Record last updated: 3 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.