Individual provider Active NPI

Gabriel Alejandro Hernandez Roman, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1245795087
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23327 Issued in PR
Practice address
371 Calle de Diego
San Juan, PR 00923-3002
Phone
(787) 225-4128
NPI assigned
Feb 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23327 PR Primary

Addresses

Primary practice location

371 Calle de Diego
San Juan, PR 00923-3002

Mailing address

LM7 Parque de Las Modelos
Carolina, PR 00982
Phone (787) 225-4128

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
I20240108004674 PR Practitioner - General Practice 0941623763 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

371 Ave de Diego
San Juan, PR 00923-3002
Phone (787) 767-5100

Hospital & facility affiliations

  • Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23327PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Professional Health LLC Emergency Medicine CurrentSince Mar 10, 2025 Accepting new patients

Locations

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

371 Calle de Diego
San Juan, PR 00923
Phone (787) 754-4244

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1245795087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LM7 PARQUE DE LAS MODELOS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-225-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233002",
            "telephone_number": "787-225-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ROMAN",
        "first_name": "GABRIEL",
        "middle_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.