Keyla Mishelle Roman Mora, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13857 Issued in PR

Practice address

Calle Rafael Cordero, Esquina Troche
Caguas, PR 00725

Phone

(787) 745-0340

NPI assigned

Nov 21, 2018

Last updated

Nov 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cossma Inc

  • Primary Care Clinic/Center
  • Cidra, PR
  • NPI 1437235793
  Medicare reassignment NPD
• Cossma, Inc.

  • Clinical Medical Laboratory
  • Humacao, PR
  • NPI 1407408347
  NPD

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1235608092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920150",
            "telephone_number": "787-556-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RAFAEL CORDERO, ESQUINA TROCHE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN MORA",
        "first_name": "KEYLA",
        "middle_name": "MISHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamilka M. Rolon Garcia, M.D.
• Lourdes Santos Rolon I, SLP
• Maria Del Carmen Rolon, ATF
• Patricia Roman Diaz
• Maria M Roman Lopez, M.D.
• Cristina Roman Negron
• Debora Roman Sosa
• Alfredo Roman, R PH
• Ariam Z Roman, MASTER SOCIAL WORK
• Dionisio Roman

• Clinical Social Worker in Caguas, PR
• Providers in Caguas, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.