| Eloy Roman Md Pa | |
|
5801 Nw 151st St Suite 300 Miami Lakes FL 33014-2437 | |
| (305) 828-1333 | |
| (305) 828-7007 |
| Full Name | Eloy Roman Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5801 Nw 151st St, Miami Lakes, Florida |
| Authorized Official Name and Position | Eloy Roman (OWNER) |
| Authorized Official Contact | 3058281333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eloy Roman Md Pa 5801 Nw 151st St Suite 300 Miami Lakes FL 33014-2437 Ph: (305) 828-1333 | Eloy Roman Md Pa 5801 Nw 151st St Suite 300 Miami Lakes FL 33014-2437 Ph: (305) 828-1333 |
| NPI Number | 1174756928 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 03/21/2014 |
| Medicare PECOS PAC ID | 7618018300 |
|---|---|
| Medicare Enrollment ID | O20091231000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174756928 | NPI | - | NPPES |
| 001687600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eloy Roman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811018765 PECOS PAC ID: 2860588787 Enrollment ID: I20071023000432 |
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