Healthcare Provider Details
I. General information
NPI: 1508567132
Provider Name (Legal Business Name): ISAMAR ZOE TORRES ROMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/10/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 CALLE PADIAL STE 340
CAGUAS PR
00725-3807
US
IV. Provider business mailing address
266 CALLE UCAR HACIENDA BORINQUEN
CAGUAS PR
00725-7555
US
V. Phone/Fax
- Phone: 939-471-1288
- Fax:
- Phone: 787-636-9313
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 1130 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: