Active NPI
Mara Yahaira Palacios Roman, MD
- Student in an Organized Health Care Education/Training Program
- Caguas, PR
National Provider Identifier
1023950797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 17640I
- Practice address
- 100 Ave Luis Munoz Marin
Urb Mariolga
Caguas, PR 00725 - Phone
- (787) 653-3434
- NPI assigned
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 17640I | PR | Primary |
Addresses
Primary practice location
100 Ave Luis Munoz Marin
Urb Mariolga
Caguas, PR 00725
Mailing address
E2 Calle Zafiro
Urb Ext Santa Ana
Vega Alta, PR 00692
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17640I | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1023950797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E2 CALLE ZAFIRO",
"address_2": "URB EXT SANTA ANA",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE LUIS MUNOZ MARIN",
"address_2": "URB MARIOLGA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-653-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS ROMAN",
"first_name": "MARA",
"middle_name": "YAHAIRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "17640I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.