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General NPI Number Information
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NPI Number | 1083426514
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO CORREA ROMAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | MANATI MEDICAL PLZ
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City | MANATI
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State | PR
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Zip | 00674-5507
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Country | US
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Telephone | 787-621-3700
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Fax |
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Provider Business Mailing Address
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Address Line | CIUDAD JARDIN 3 CALLE ROBLE 88 TOA ALTA PUERTO RICO
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-412-1014
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 24649
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License Number State | PR
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