Provider Demographics
NPI:1871606657
Name:ROMAN-GRAU, RADAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:RADAMES
Middle Name:C
Last Name:ROMAN-GRAU
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Gender:
Credentials:MD
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Mailing Address - Street 1:701 CALLE COQUI
Mailing Address - Street 2:URB MIRADERO GARDENS
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682
Mailing Address - Country:US
Mailing Address - Phone:787-826-6008
Mailing Address - Fax:787-832-9783
Practice Address - Street 1:NO 67 CALLE 65 DE INFANTERIA
Practice Address - Street 2:POLICLINICA DE ANASCO OF. 102
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-6008
Practice Address - Fax:787-832-9783
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2025-04-01
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Provider Licenses
StateLicense IDTaxonomies
PR8011207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8011OtherSTATE LICENSE
PR80041Medicare ID - Type UnspecifiedPROVIDER NUMBER