MEDICARE: ADRIAN CARLOS PADIN ROMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	8232	PR

General Provider Information

NPI Number	:	1578494449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN CARLOS PADIN ROMAN

Provider Business Mailing Address
First Line	:	ARENALES ALTOS,TOCONES,CALLE LA FE #210
Second Line	:
City	:	ISABELA
State	:	PR
Zip	:	00662
Country	:	US
Telephone Number	:	787-450-5840
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 AVE NATIVO ALERS STE 110
Second Line	:
City	:	AGUADA
State	:	PR
Zip	:	00602-3418
Country	:	US
Telephone Number	:	787-450-5840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ ADRIAN CARLOS PADIN ROMAN ” Practice Location

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