Individual provider Active NPI

Rosa Isabel Roman Carlo, MD

  • Pulmonary Disease Physician
  • Mayaguez, PR
National Provider Identifier
1154313849
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9009 Issued in PR
Practice address
55 North Basora Street
Suite 210
Mayaguez, PR 00680-0055
Phone
(787) 833-5090
Fax
(787) 833-5090
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 9009 PR Primary

Addresses

Primary practice location

55 North Basora Street
Suite 210
Mayaguez, PR 00680-0055

Mailing address

55 North Basora Street
Suite 210
Mayaguez, PR 00680-0055
Phone (787) 833-5090

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
I20041104000178 PR Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0547223232 Practice locations: Aguadilla, PR; Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Basora 55 N Medico IV
Suite 210
Mayaguez, PR 00680
Phone (787) 210-1102

Hospital & facility affiliations

  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dra. Rosa I. Roman Carlo, C.S.P. Pulmonary Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rromancarlo@1611.securemail.prognocis.com

Organizations & group practices 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154313849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTH BASORA STREET",
            "address_2": "SUITE 210",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800055",
            "telephone_number": "787-833-5090",
            "fax_number": "787-833-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH BASORA STREET",
            "address_2": "SUITE 210",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800055",
            "telephone_number": "787-833-5090",
            "fax_number": "787-833-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN CARLO",
        "first_name": "ROSA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "9009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.