Individual provider · Type 1 NPI

Wildalys Roman

Other Technician · Hatillo, PR

NPI number 1174981336 Active

Practice location

16 Avenida Dr, Susoni
Hatillo, PR 00659

Mailing address

16 Avenida Dr. Susoni
Hatillo, PR 00659

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X8695 (PR)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

About NPI 1174981336

Wildalys Roman's National Provider Identifier is 1174981336, issued on Feb 3, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Hatillo, PR. The record was last updated on Feb 3, 2016.