Individual provider Active NPI

Jose Nestor Roman, M.D.

  • Emergency Medicine Physician
  • Isabela, PR
National Provider Identifier
1083717318
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15029 Issued in PR
Practice address
6080 Calle Cipres
Isabela, PR 00662-3200
Phone
(787) 607-0738
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 15029 PR
Emergency Medicine Physician 207P00000X 15029 PR Primary

Addresses

Primary practice location

6080 Calle Cipres
Isabela, PR 00662-3200

Mailing address

6080 Calle Cipres
Isabela, PR 00662-3200
Phone (787) 607-0738

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061124000002 PR Practitioner - General Practice 7214935410 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15029PRMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Center General Practice CurrentSince Jul 19, 2024 Accepting new patients
Aguadilla Medical Services, Inc. CurrentSince Nov 29, 2022 Accepting new patients
Aguadilla Medical Services, Inc. Current Accepting new patients
Aguadilla Medical Services, Inc. CurrentSince Nov 29, 2022 Accepting new patients
Metro Pavia Healthcare Center CurrentSince Jul 19, 2024 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Aguadilla Medical Services, Inc Past Accepting new patients
Policlinica del Atlantico Corp Past Accepting new patients

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1083717318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 CALLE CIPRES",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623200",
            "telephone_number": "787-607-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CALLE CIPRES",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623200",
            "telephone_number": "787-607-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JOSE",
        "middle_name": "NESTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "15029",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "15029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.