Nicole Roman Marengo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5638-PA Issued in PR

Practice address

W3-52 Calderon de la Barca
Urb Hucares
San Juan, PR 00926-6801

Phone

(787) 306-0332

NPI assigned

Jan 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1043023252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3-52 CALDERON DE LA BARCA",
            "address_2": "URB HUCARES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266801",
            "telephone_number": "787-306-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3-52 CALDERON DE LA BARCA",
            "address_2": "URB HUCARES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266801",
            "telephone_number": "787-306-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN MARENGO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PR",
            "license": "5638-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Angel Roman Bermudez
• Elias Roman Bonew
• Darian Roman Chirino, PHARM D
• Roberto Oscar Roman Julia, ND
• Luis Alexis Roman Lizasoain
• Mohamed Roman Martinez, MD
• Reinaldo L. Roman Morales, M.D.
• Stephanie Roman Morales
• Maria L. Roman Orta, M.D.
• Marta Ivelisse Roman Resto, PH.D

• Psychiatric/Mental Health Nurse Practitioner in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.