Provider Demographics
NPI:1578947081
Name:ATILES ROMAN, JOELEEN
Entity type:Individual
Prefix:
First Name:JOELEEN
Middle Name:
Last Name:ATILES ROMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 25671
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 90.0 INT
Practice Address - Street 2:BO PUENTE
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-9016
Practice Address - Country:US
Practice Address - Phone:787-356-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4678235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist