Healthcare Provider Details

I. General information

NPI: 1881320109
Provider Name (Legal Business Name): CARLINA ROMAN ABRAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 06/26/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 86.2 CALLE MARGINAL SUITE 3 EDIF. OMARYS 262
HATILLO PR
00659-1802
US

IV. Provider business mailing address

CARR 2 KM 86.2 CALLE MARGINAL SUITE 3 EDIF. OMARYS 262
HATILLO PR
00659-1802
US

V. Phone/Fax

Practice location:
  • Phone: 939-433-8942
  • Fax:
Mailing address:
  • Phone: 939-433-8942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7442
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: