Manuel Roman Jr., MD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

337PA Issued in PR

Practice address

C17 Calle Marginal
Bayamon, PR 00961-6706

Phone

(787) 780-1273

Fax

(787) 786-8690

NPI assigned

May 18, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1295358885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CALLE 6",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952601",
            "telephone_number": "939-439-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C17 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616706",
            "telephone_number": "787-780-1273",
            "fax_number": "787-786-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "337PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Marie Roman Velez, PHARMD
• Xavier Roman-Acosta, PSYCHOLOGIST
• Cynthia Roman, MA
• Felix A Roman I, MD
• Jose Alfredo Roman, R.T.
• Maria De Lourdes Roman, PHARMACIST
• Mariano Roman
• Marife Roman
• Miguel Angel Roman, M.D.
• Monica Roman

• Physician Assistant in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.