Provider Demographics
NPI:1912136318
Name:ECHEVARRIA ROMAN, MIOSOTIS (PHL)
Entity type:Individual
Prefix:
First Name:MIOSOTIS
Middle Name:
Last Name:ECHEVARRIA ROMAN
Suffix:
Gender:F
Credentials:PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. SAN FRANCISCO II
Mailing Address - Street 2:CALLE SAN ANTONIO #230
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-940-7867
Mailing Address - Fax:
Practice Address - Street 1:500 CARR 335
Practice Address - Street 2:BO BARINAS
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-2706
Practice Address - Country:US
Practice Address - Phone:787-940-7867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4587235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist