Active NPI
Lydia M Roman Robles, OD
- Optometrist
- Bayamon, PR
National Provider Identifier
1306129630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 688
- Practice address
- San Fernando
E-18 Ave Hermanas Davila
Bayamon, PR 00957-1769 - Phone
- (787) 787-4036
- Fax
- (787) 780-2118
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 688 | PR | Primary |
Addresses
Primary practice location
San Fernando
E-18 Ave Hermanas Davila
Bayamon, PR 00957-1769
Mailing address
PO Box 3423
Bayamon, Gardens Sta
Bayamon, PR 00958-0423
Phone (787) 787-4036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688 | Other | PR | STATE LIC # |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecb Humacao | Optometrist | Current | Accepting new patients |
| Ecb Humacao LLC | Optometrist | Current | Accepting new patients |
Organizations & group practices 2
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": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1306129630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3423",
"address_2": "BAYAMON, GARDENS STA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009580423",
"telephone_number": "787-787-4036",
"fax_number": "787-780-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAN FERNANDO",
"address_2": "E-18 AVE HERMANAS DAVILA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009571769",
"telephone_number": "787-787-4036",
"fax_number": "787-780-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN ROBLES",
"first_name": "LYDIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC #",
"identifier": "688",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.