Individual provider Active NPI

Stephanie Nicole Roman Gonzalez, PHARM D

  • Pharmacist
  • Carolina, PR
National Provider Identifier
1316585995
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6726 Issued in PR
Practice address
2550 Ave de Diego
Carolina, PR 00987-4800
Phone
(787) 762-8412
NPI assigned
Dec 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6726 PR Primary

Addresses

Primary practice location

2550 Ave de Diego
Carolina, PR 00987-4800

Mailing address

2550 Ave de Diego
Carolina, PR 00987-4800
Phone (787) 762-8412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6726PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Pharmacy Management LLC PastSince Dec 22, 2019 Accepting new patients
Caribe Pharmacy Management LLC PastSince Dec 22, 2019 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": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1316585995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 AVE DE DIEGO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874800",
            "telephone_number": "787-762-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 AVE DE DIEGO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874800",
            "telephone_number": "787-762-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN GONZALEZ",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.