Jesus M Roman, MD
Individual provider Active NPI Pulmonary Disease Physician · Mayaguez, PR
NPI 1497748156 · NPPES record last updated Dec 2, 2019
Key facts
- NPI
- 1497748156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 15615 (PR)
- Practice address
- 55 Calle de Diego Este Suite 401
CPR Professional Building
Mayaguez, PR 00680 - Phone
- (787) 832-0000
- NPI assigned
- Aug 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centro Neumologico del Oeste
Practice addresses (Care Compare)
55 Calle de Diego E
Mayaguez, PR 00680-5081
Phone (787) 832-0000
Hospital & facility affiliations
- Hospital Perea
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051201000646 | PR | Practitioner - Pulmonary Disease |
2769402080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15615 | PR | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorios del Sueno de Puerto Rico | Current |
Accepting new patients | |
| Centro Neumologico del Oeste | Pulmonary Disease | Current |
Accepting new patients |
Locations
55 Calle de Diego E
Ste 401
Mayaguez, PR 00680
Phone (787) 805-1032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15615 | PR | |
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | 15615 | PR | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 15615 | PR | |
| Pulmonary Disease Physician | 207RP1001X | 15615 | PR | Yes |
Addresses
Primary practice location
55 Calle de Diego Este Suite 401
CPR Professional Building
Mayaguez, PR 00680
Mailing address
CPR Professional Building
55 Calle de Diego Este Suite 401
Mayaguez, PR 00680-5081
Phone (787) 832-0000
Other providers in Mayaguez, PR
- Roman Urology Group PSC
- Luis M Roman-Badenas
- Iris B Roman-Morales
- Elizabeth Roman
- Jannira Roman
- Jesus A. Romero Perez
- Melba Nelly Roque
- Rosa Rodriguez Laboratorio Clinico Sultana
- Laura Andrea Rosado Gonzalez
- Nicolle Lorraine Rosado Hernandez
All providers in Mayaguez, PR · Pulmonary Disease Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.