Individual provider Active NPI

Miguel Roman

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1194223248
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9428695 Issued in FL
Practice address
15112 SW 116TH St
Miami, FL 33196-6805
Phone
(305) 781-5443
NPI assigned
Jan 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9428695 FL Primary

Addresses

Primary practice location

15112 SW 116TH St
Miami, FL 33196-6805

Mailing address

15112 SW 116TH St
Miami, FL 33196-6805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120003256 FL Practitioner - Nurse Practitioner 9234483652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Care Associates, PLLCGroup PAC ID 4082028642, 3 clinicians

Practice addresses (Care Compare)

2611 S US Hwy 27
Clermont, FL 34711-6523
Phone (352) 717-0603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9428695FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Care Associates PLLC CurrentSince Dec 4, 2024 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Apr 29, 2018 Accepting new patients

Locations

2741 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 717-0613

2611 S US Highway 27
Clermont, FL 34711
Phone (352) 717-0603

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

7135 SW 117th Ave
Miami, FL 33183
Phone (305) 596-4105

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHDDCD/Endpoint/FHDDCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1194223248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15112 SW 116TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15112 SW 116TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966805",
            "telephone_number": "305-781-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9428695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.