Amaury Arnaldo Roman, M.D,

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5872 Issued in PR

Practice address

4 Calle Baldorioty
Cidra, PR 00739-3318

Phone

(787) 739-3376

Fax

(787) 714-1134

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Amaury A Roman Miranda Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Advanced Medical Concepts PSC

  • Clinic/Center
  • Cidra, PR
  • NPI 1417093493
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1225049547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1802",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391802",
            "telephone_number": "787-739-3376",
            "fax_number": "787-714-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE BALDORIOTY",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393318",
            "telephone_number": "787-739-3376",
            "fax_number": "787-714-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "AMAURY",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5872",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "057659",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301087098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAURY",
            "last_name": "ROMAN MIRANDA",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Roberto Rodriguez, MD
• Ivette Rodriquez, MD
• Adriana M Roldan Velez, M.D.
• Maria Luz Roldan, M.D.
• Madieliz Rolon Rivera, M.S.
• Angel Francisco Romero, O.D.
• Edgardo Luis Ronda Lebron, MD
• Lidian Jannet Rosario-Vazquez, B.S.PH
• Rosimar Ambulance Corp
• Obed Omar Ruiz Carattini

• General Practice Physician in Cidra, PR
• Providers in Cidra, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.