Provider Demographics
NPI:1861724601
Name:RIOS ROMAN, DENNIS
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:RIOS ROMAN
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:URBANIZACION ESTANCIAS DE LA CEIBA
Mailing Address - Street 2:900 CALLE PEDRO FLORES
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-7833
Mailing Address - Country:US
Mailing Address - Phone:787-612-7997
Mailing Address - Fax:
Practice Address - Street 1:900 CALLE PEDRO FLORES
Practice Address - Street 2:URBANIZACION ESTANCIAS DE LA CEIBA
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-7833
Practice Address - Country:US
Practice Address - Phone:787-612-7997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2025-02-07
Deactivation Date:2025-01-23
Deactivation Code:
Reactivation Date:2025-02-07
Provider Licenses
StateLicense IDTaxonomies
PR3646103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist