Individual provider Active NPI

Gerardo Rivera Roman, MD

  • Internal Medicine Physician
  • Aguadilla, PR
National Provider Identifier
1033461934
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
020042 Issued in PR
Practice address
#645 Calle # 18
Comunidad Caban
Aguadilla, PR 00603
Phone
(757) 763-8618
NPI assigned
Oct 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101259841 VA
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 020042 PR Primary

Addresses

Primary practice location

#645 Calle # 18
Comunidad Caban
Aguadilla, PR 00603

Mailing address

4000 Coliseum Dr Ste 445
Hampton, VA 23666-5981
Phone (757) 763-8618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130502000321 PR Practitioner - Internal MedicinePractitioner - General Practice 0547407975 Practice locations: San Sebastian, PR
I20160810000521 VA Practitioner - HospitalistPractitioner - Internal Medicine 0547407975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

3000 Coliseum Dr
Hampton, VA 23666-5963

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Single Specialty CurrentSince Dec 12, 2016 Accepting new patients
Atlantic Adult Medical Services Single Specialty Current Accepting new patients
Renova Internal Medicine Single Specialty PastSince Jul 1, 2016 Accepting new patients
Pepino Internal Medicine Group Inc Internal Medicine Past Accepting new patients

Locations

4000 Coliseum Dr
Ste 445
Hampton, VA 23666
Phone (757) 827-2127

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1033461934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 445",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665981",
            "telephone_number": "757-763-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#645 CALLE # 18",
            "address_2": "COMUNIDAD CABAN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "757-763-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROMAN",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101259841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "020042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.