Active NPI
Elena Roman, MSPT
- Physical Therapist
- San Juan, PR
National Provider Identifier
1053625657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1405
- Practice address
- Carr. 844 Villas del Monte
Apt 2A3 Box 11
San Juan, PR 00926 - Phone
- (787) 531-0091
- NPI assigned
- Aug 6, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1405 | PR | Primary |
Addresses
Primary practice location
Carr. 844 Villas del Monte
Apt 2A3 Box 11
San Juan, PR 00926
Mailing address
Carr. 844 Villas del Monte
Apt. 2A3 Box 11
San Juan, PR 00926
Phone (787) 531-0091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130117000380 | PR | Practitioner - Physical Therapist in Private Practice | 6709039084 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1405 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1053625657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. 844 VILLAS DEL MONTE",
"address_2": "APT. 2A3 BOX 11",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-531-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 844 VILLAS DEL MONTE",
"address_2": "APT 2A3 BOX 11",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-531-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "ELENA",
"name_prefix": "Miss",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.