Angel Omar Roman Dominguez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23633 Issued in PR

Practice address

55 Ave Luna
Manati, PR 00674-4819

Phone

(787) 473-1786

NPI assigned

Feb 27, 2023

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1508565847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170764",
            "telephone_number": "787-473-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AVE LUNA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744819",
            "telephone_number": "787-473-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN DOMINGUEZ",
        "first_name": "ANGEL",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rodriguez
• Sylvette Marie Rodriguez, LPC
• William Manuel Rojas, FNP-C
• Cesar Manuel Roman Cedeno, MD
• Ernesto Roman Cintron
• Carmen Dora Roman Morales, MD
• Josue Roman Perez, MD
• Ayleen Ivette Roman-Cruz, M.D.
• Carelis M. Roman, O.D.
• Isabel Roman, PH D

• General Practice Physician in Manati, PR
• Providers in Manati, 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 Feb 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.