Individual provider Active NPI

Gerardo Ernesto Perez-Roman, M.D.

  • Orthopaedic Surgery Physician
  • San Juan, PR
National Provider Identifier
1144233602
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12262 Issued in PR
Practice address
576 Calle Cesar Gonzalez
Doral Bank Center Suite 402
San Juan, PR 00918-3756
Phone
(787) 767-5085
Fax
(787) 767-6876
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 12262 PR Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 12262 PR

Addresses

Primary practice location

576 Calle Cesar Gonzalez
Doral Bank Center Suite 402
San Juan, PR 00918-3756

Mailing address

576 Calle Cesar Gonzalez
Doral Bank Center Suite 402
San Juan, PR 00918-3756
Phone (787) 767-5085

Other identifiers 2

IdentifierTypeStateIssuer
060954OtherPRLA CRUZ AZUL DE PR
90073OtherPRTRIPLE S

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
I20040828000197 PR Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4880669399 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

576 C/Cesar Gonzalez
San Juan, PR 00918-3769
Phone (787) 767-5085

576 Cesar Gonzalez Ave
Suite 402
San Juan, PR 00918-3769

Hospital & facility affiliations

  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12262PRMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GPR Orthopedics PSC Orthopaedic Surgery CurrentSince Mar 15, 2015 Accepting new patients
Hato Rey Orthopedic Assoc Past Accepting new patients

Locations

576 Calle Cesar Gonzalez
Ste 402
San Juan, PR 00918
Phone (787) 507-6768

Organizations & group practices 2

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.

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1144233602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ",
            "address_2": "DORAL BANK CENTER SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183756",
            "telephone_number": "787-767-5085",
            "fax_number": "787-767-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ",
            "address_2": "DORAL BANK CENTER SUITE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183756",
            "telephone_number": "787-767-5085",
            "fax_number": "787-767-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-ROMAN",
        "first_name": "GERARDO",
        "middle_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "12262",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "12262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "060954",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "90073",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.