MEDICARE: ADRIANA RIVERA ROMAN DC

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	111N00000X	Chiropractor	882	PR

General Provider Information

NPI Number	:	1649990649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA RIVERA ROMAN DC

Provider Business Mailing Address
First Line	:	PO BOX 50407
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00950-0407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE LUIS MUNOZ RIVERA 53
Second Line	:	LOCAL C URB VILLA AMPARO
City	:	TOA ALTA
State	:	PR
Zip	:	00949-3130
Country	:	US
Telephone Number	:	787-403-0703
Fax Number	:

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

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	08/31/2023

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Directions to “ ADRIANA RIVERA ROMAN DC” Practice Location

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