Juan M Roman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12223 Issued in PR

Practice address

Ave Sabana Seca Carr 867 KM 2.2
Toa Baja Health Center
Toa Baja, PR 00952-0000

Phone

(787) 261-3260

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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: 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

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1285710251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780633",
            "telephone_number": "787-484-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SABANA SECA CARR 867 KM 2.2",
            "address_2": "TOA BAJA HEALTH CENTER",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009520000",
            "telephone_number": "787-261-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilliam Rodriguez, MSW
• Maria Elisa Rodriguez, S.W.
• Alondra Roman Hernandez
• Victor Manuel Roman-Ortiz, DMD
• Aixa Michelle Roman, OTL
• Karen L Rondon, PHARMD
• Christian Rosa
• Ashley Ann Rosado Dones, MA
• Christian Rosado Paso, MD
• Billy J Rosado Rivera

• General Practice Physician in Toa Baja, PR
• Providers in Toa Baja, 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 May 23, 2014; 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.