Active NPI
Maribel Roman
- Rehabilitation Counselor
- San Juan, PR
National Provider Identifier
1407061872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 715
- Practice address
- Centro Servicios Integrados de Recupracion
RR9
San Juan, PR 00926 - Phone
- (787) 755-6800
- NPI assigned
- May 11, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 715 | PR | Primary |
Addresses
Primary practice location
Centro Servicios Integrados de Recupracion
RR9
San Juan, PR 00926
Mailing address
Cond. Veredas de Venus
Apt 3103 Calle Piedras Negras 800
San Juan, PR 00926
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 715 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407061872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. VEREDAS DE VENUS",
"address_2": "APT 3103 CALLE PIEDRAS NEGRAS 800",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO SERVICIOS INTEGRADOS DE RECUPRACION",
"address_2": "RR9",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-755-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "MARIBEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "PR",
"license": "715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.