Roman Lebron, Modomi J.

Roman Lebron, Modomi J. is an individual health care provider with primary practice located at 99 Guillermo Riefkkohl St , Patillas PR 00723-0072. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Roman Lebron, Modomi J. can be contacted via phone (787) 839-4320.

Contact Information

Primary practice address
99 Guillermo Riefkkohl St Patillas PR 00723-0072
Phone: (787) 839-4320
Fax: (787) 839-4320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 007527 Puerto Rico

Profile Details

NPI number 1043736218
LBN Legal business name Roman Lebron, Modomi J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2017
Last updated Jun 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043736218 NPPES
Puerto Rico Other 196237 REGISTRY CERTIFICATE

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