Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roman Antioquia

Individual provider Specialist · NPI 1790186633

Roman Antioquia is a Specialist in Mountlake Terrace, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

6808 220th St SW Ste 203
Mountlake Terrace, WA 98043-2187
Phone: (425) 776-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA60384227 (WA)

Record details

NPI number1790186633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESSeptember 10, 2014

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