Individual provider Active NPI

Ramon H. Roman, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1295133346
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9306159 Issued in FL
Practice address
12320 Quail Roost Dr
Miami, FL 33177-4930
Phone
(786) 661-0061
Fax
(786) 313-5300
NPI assigned
Dec 5, 2014
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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 9306159 FL Primary

Addresses

Primary practice location

12320 Quail Roost Dr
Miami, FL 33177-4930

Mailing address

PO Box 161604
Miami, FL 33116-1604
Phone (786) 661-0061

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
I20150516000092 FL Practitioner - Nurse Practitioner 9133449044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Holdings Company LLCGroup PAC ID 8224323050, 61 clinicians

Practice addresses (Care Compare)

1401 E 4TH Ave
104 Palm Medical Center Hialeah LLC
Hialeah, FL 33010-3504
Phone (305) 888-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9306159FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Holdings Company LLC CurrentSince Mar 9, 2020 Accepting new patients
Palm Medical Centers CurrentSince Mar 9, 2020 Accepting new patients
Urology Specialty Group LLC Past Accepting new patients
RCR Medserv, P.a. Family Past Accepting new patients
South Florida Medicine LLC Past Accepting new patients

Locations

2600 S Douglas Rd
Ste 308
Coral Gables, FL 33134
Phone (305) 777-9590

1401 E 4th Ave
Ste 104
Hialeah, FL 33010
Phone (305) 885-9999

135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728

Interoperability endpoints

  • Direct secure messaging: wghrroman@yourcarecommunity.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1295133346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161604",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331161604",
            "telephone_number": "786-661-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774930",
            "telephone_number": "786-661-0061",
            "fax_number": "786-313-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "RAMON",
        "middle_name": "H.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9306159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.