Active NPI
Vilmarie Roman
- Clinical Social Worker
- Palm Bay, FL
National Provider Identifier
1013360593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4064933
- Practice address
- 1071 Port Malabar Blvd NE
N.E. Suite 106
Palm Bay, FL 32905-5161 - Phone
- (787) 632-0477
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4064933 | PR | Primary |
Addresses
Primary practice location
1071 Port Malabar Blvd NE
N.E. Suite 106
Palm Bay, FL 32905-5161
Mailing address
PO Box 95
Juncos, PR 00777-0095
Phone (787) 632-0477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4064933 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1013360593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95",
"city": "JUNCOS",
"state": "PR",
"postal_code": "007770095",
"telephone_number": "787-632-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 PORT MALABAR BLVD NE",
"address_2": "N.E. SUITE 106",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329055161",
"telephone_number": "787-632-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "VILMARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "4064933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.