Maria M Roman Carlo, LICENSED

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

004711 Issued in PR

Practice address

Dr. Basora 55-N
Edificio Medico IV -210
Mayaguez, PR 00680

Phone

(787) 210-1102

NPI assigned

Aug 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1306279096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230185",
            "telephone_number": "787-222-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR. BASORA 55-N",
            "address_2": "EDIFICIO MEDICO IV -210",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-210-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN CARLO",
        "first_name": "MARIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICENSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "004711",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "PR",
            "license": "004711",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "004711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "004711",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Cristina Romaguera
• William R Roman Aqueron, M.D.
• Freddie H. Roman Aviles, M.D.
• Roman Carlo Medical Services PSC
• Jose C Roman Carlo Sr., MD
• Rosa Isabel Roman Carlo, MD
• Jose Luis Roman Franqui
• Jan C Roman Ithier, M.D.
• Johanna Roman Soto, MS
• William Roman Torreguitart, M.D.

• Counseling Psychologist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.