Mario Luis Roman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12763 Issued in PR

Practice address

Carr. 2 KM 141.7 Bo. Caimaital Bajo
Hospital Buen Samaritano
Aguadilla, PR 00605

Phone

(787) 819-1010

Fax

(787) 819-1012

NPI assigned

Nov 13, 2006

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

Specialty

Internal Medicine

Education

Ponce School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Comunitario Buen Samaritano Inc Hospital, Aguadilla, PR, CCN 400079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Comunitario Buen Samaritano Inc

  • General Acute Care Hospital
  • Aguadilla, PR
  • NPI 1922034776
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BS Radiology and Women'S Center

  • Mammography Clinic/Center
  • Aguadilla, PR
  • NPI 1245816032

  Hospital

  Care Compare affiliation
• Hospital Comunitario Buen Samaritano Inc

  • General Acute Care Hospital
  • Aguadilla, PR
  • NPI 1922034776
  Care Compare affiliation

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508937368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 CALLE LUIS XIV",
            "address_2": "URB. LOS VERSALLES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827845",
            "telephone_number": "787-832-1289",
            "fax_number": "787-832-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 2 KM 141.7 BO. CAIMAITAL BAJO",
            "address_2": "HOSPITAL BUEN SAMARITANO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-819-1010",
            "fax_number": "787-819-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MARIO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Roman-Deynes, M.D.
• Anangelys Roman-Perez, PSY.D.
• Abdiel Esteban Roman
• Davmari Roman
• Marilis Arlene Roman I, LIC
• Yanice Aime Roman
• Benigno A Romero
• Nestor A Rosa Morales
• Abed Arnaldo Rosa Perez, MD
• Yanelly Rosa Perez

• Internal Medicine Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.