Luis M Roman-Badenas

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3039 Issued in PR

Practice address

Ave. Hostos 770 Carr. # 2
Policlinica Bella Vista
Mayaguez, PR 00680

Phone

(787) 986-0023

Fax

(787) 833-3831

NPI assigned

Apr 13, 2009

Last updated

Oct 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1417190067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "address_2": "PMB 336",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261025",
            "telephone_number": "787-745-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. HOSTOS 770 CARR. # 2",
            "address_2": "POLICLINICA BELLA VISTA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-986-0023",
            "fax_number": "787-833-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-BADENAS",
        "first_name": "LUIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan C Roman Ithier, M.D.
• Johanna Roman Soto, MS
• William Roman Torreguitart, M.D.
• Rose Michelle Roman Torres, M.D.
• Roman Urology Group PSC
• Iris B Roman-Morales, M.D.
• Elizabeth Roman, LND
• Jannira Roman
• Jesus M Roman, MD
• Jesus A. Romero Perez, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.