MEDICARE: CAMILLE DIANE CESTERO ROMAN PHARMD

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	183500000X	Pharmacist	6866	PR

General Provider Information

NPI Number	:	1659238889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE DIANE CESTERO ROMAN PHARMD

Provider Business Mailing Address
First Line	:	100 ROSEVILLE DR APT 17
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9660
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	HF16 CALLE LIZZIE GRAHAM
Second Line	:
City	:	TOA BAJA
State	:	PR
Zip	:	00949-3634
Country	:	US
Telephone Number	:	787-795-2935
Fax Number	:

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ CAMILLE DIANE CESTERO ROMAN PHARMD” Practice Location

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