Provider Demographics
NPI:1861203598
Name:IURATO, ROMAN
Entity type:Individual
Prefix:
First Name:ROMAN
Middle Name:
Last Name:IURATO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 POLAR MORN PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-8036
Mailing Address - Country:US
Mailing Address - Phone:801-512-5343
Mailing Address - Fax:
Practice Address - Street 1:238 POLAR MORN PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8036
Practice Address - Country:US
Practice Address - Phone:801-512-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant