Individual provider Active NPI

Daniel Roman

  • Occupational Therapy Assistant
  • San Lorenzo, PR
National Provider Identifier
1497061147
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
843 Issued in PR
Practice address
Avenue 181 Street 745 K.M 5.4 Espino Morena
HC 30 Box 33610
San Lorenzo, PR 00754-9737
Phone
(787) 736-8834
NPI assigned
Aug 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 843 PR Primary

Addresses

Primary practice location

Avenue 181 Street 745 K.M 5.4 Espino Morena
HC 30 Box 33610
San Lorenzo, PR 00754-9737

Mailing address

Avenue 181 Street 745 K.M 5.4 Espino Morena
HC 30 Box 33610
San Lorenzo, PR 00754-9737

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

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1497061147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENUE 181 STREET 745 K.M 5.4 ESPINO MORENA",
            "address_2": "HC 30 BOX 33610",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENUE 181 STREET 745 K.M 5.4 ESPINO MORENA",
            "address_2": "HC 30 BOX 33610",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549737",
            "telephone_number": "787-736-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.