Active NPI
Eliza B San Roman, D.O., F.A.C.N.
- Child & Adolescent Psychiatry Physician
- El Paso, TX
National Provider Identifier
1144221003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- K2583
- Practice address
- 5001 N Piedras St
El Paso, TX 79930-4210 - Phone
- (915) 564-6159
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | K2583 | TX | Primary |
Addresses
Primary practice location
5001 N Piedras St
El Paso, TX 79930-4210
Mailing address
PO Box 304
Santa Teresa, NM 88008-0304
Phone (505) 589-1122
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2583 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1144221003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880080304",
"telephone_number": "505-589-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN ROMAN",
"first_name": "ELIZA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.O., F.A.C.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "K2583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Sandra San Jose, CCC-SLP
- Jesse Angelica Quitalig San Juan, M.D.
- San Lorenzo Adult Provider Services and Pediatrics LLC
- San Lorenzo Durable Medical Equipment LLC
- San Mateo Personal Assistance Services
- Mark Edward Sanborn, D.D.S.
- Miguel Gregorio Sanchez Acosta
- Joanne Sanchez Arias, PT
- Juan Camilo Sanchez Gualteros, MD
- Adalberto Sanchez Medina, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.