Individual provider · Type 1 NPI

Jose Samuel Fuentes Roman, PA

Student in an Organized Health Care Education/Training Program · Arecibo, PR

NPI number 1376129809 Active

Practice location

531 Ave Miramar
Arecibo, PR 00612-4360

Call (787) 817-1383 Map

Mailing address

PO Box 3102
Arecibo, PR 00613-3102

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X021-P.A. (PR)
Student in an Organized Health Care Education/Training Program Primary 390200000X17746-I (PR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376129809

Jose Samuel Fuentes Roman, PA's National Provider Identifier is 1376129809, issued on Mar 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arecibo, PR. The record was last updated on Jun 7, 2026.