Heidi Marie Perez Roman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16650 Issued in PR

Practice address

Carr 123 KM 9.8 Sect. Comercial Las Delicias
Clinica Familiar Las Delicias
Ponce, PR 00728

Phone

(787) 841-4626

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: hperezroman@2252.securemail.prognocis.com

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1497965776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10225",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320225",
            "telephone_number": "787-841-4626",
            "fax_number": "787-284-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 123 KM 9.8 SECT. COMERCIAL LAS DELICIAS",
            "address_2": "CLINICA FAMILIAR LAS DELICIAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-841-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2706 BLVD LUIS A FERRE",
            "address_2": "URB. CONSTANCIA",
            "address_purpose": "LOCATION",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "country_code": "US",
            "telephone_number": "787-903-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ ROMAN",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "16650",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Manuel Perez Portocarrero, MD, MS
• Mariela Perez Quintana, MD
• Adriana G. Perez Rivera, PHARM.D.
• Jennifer Marie Perez Rivera
• Eduardo Perez Rodriguez, M.D.
• Michelle Marielle Perez Roman
• Edgar Ivan Perez Ruiz, CSW
• Alejandro Luis Perez Torres, MD
• Maruxa Perez Viera, M.D.
• Perez Y Santos Renal Medical

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.