Healthcare Provider Details

I. General information

NPI: 1053215012
Provider Name (Legal Business Name): VALERIE MICHELLE RAMOS ROMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CORCHADO NUMERO 5 CARRETERA 189, LOCAL A2
CAGUAS PR
00725
US

IV. Provider business mailing address

31 CALLE MEDIA LUNA
CAGUAS PR
00725-8701
US

V. Phone/Fax

Practice location:
  • Phone: 787-678-1812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5130-1
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: