Nicole M Roman Medina

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1326 Issued in PR

Practice address

68 Calle Jose Celso Barbosa Carr 198 KM 22.4
Area Industrial Centro Diagnostico Y Tratamiento
Las Piedras, PR 00771-9998

Phone

(787) 484-5791

NPI assigned

Feb 9, 2024

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Imove LLC

  • Clinic/Center
  • San Juan, PR
  • NPI 1871445049
  NPD Authorized official
• KD Therapy Corporation

  • Physical Therapist
  • Las Piedras, PR
  • NPI 1316899974

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1316701303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QUINTAS REALES G-5 REY JORGE V",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-221-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE JOSE CELSO BARBOSA CARR 198 KM 22.4",
            "address_2": "AREA INDUSTRIAL CENTRO DIAGNOSTICO Y TRATAMIENTO",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719998",
            "telephone_number": "787-484-5791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Lopez Flores #12 Paradise",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007252661",
            "country_code": "US",
            "telephone_number": "787-472-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN MEDINA",
        "first_name": "NICOLE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emarie Rodriguez, MSW
• Evelyn Rodriguez, M.D.
• Juanita Enid Rodriguez
• Nidza Rodriguez
• Thaira Enid Rodriguez, NL
• Amaury Roque Gonzalez
• Bernardo Roque, PSY.D, HCT
• Maria Del Pilar Rosa, PSYD
• Jessica Rosado, PSYD
• Rafael A. Rosario, M.D.

• Occupational Therapist in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.