Individual provider Active NPI

Luisa E Gonzalez Roman, LPT

  • Physical Therapist
  • Toa Baja, PR
National Provider Identifier
1306809140
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
414 Issued in PR
Practice address
Urb Levittown
P1449 Ave. Boulevard
Toa Baja, PR 00949
Phone
(787) 784-0148
Fax
(787) 784-0148
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 414 PR Primary

Addresses

Primary practice location

Urb Levittown
P1449 Ave. Boulevard
Toa Baja, PR 00949

Mailing address

PO Box 8492
Bayamon, PR 00960-8492
Phone (787) 784-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000558 PR Practitioner - Physical Therapist in Private Practice 1456596576 Practice locations: Bayamon, PR; Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave El Comandante Calle
266 PB30 3Ed Extencion Country Club
Carolina, PR 00982
Phone (787) 784-0148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
414PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Terapia Fisica Flamingo Terrace Physical Therapist Past Accepting new patients
Boulevard Health Care Program Physical Therapist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306809140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8492",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608492",
            "telephone_number": "787-784-0148",
            "fax_number": "787-784-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LEVITTOWN",
            "address_2": "P1449 AVE. BOULEVARD",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-0148",
            "fax_number": "787-784-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ROMAN",
        "first_name": "LUISA",
        "middle_name": "E",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.