Healthcare Provider Details

I. General information

NPI: 1295232080
Provider Name (Legal Business Name): ARIAM Z ROMAN MASTER SOCIAL WORK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URBANIZACION DELGADO N25 CALLE 15
CAGUAS PR
00725-0000
US

IV. Provider business mailing address

URBANIZACION DELGADO N25 CALLE 15
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-930-7288
  • Fax:
Mailing address:
  • Phone: 787-930-7288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14463
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: