Active NPI
Roberto Roman Roman
- Low Vision Rehabilitation Optometrist
- San Juan, PR
National Provider Identifier
1538357066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 649
- Practice address
- VA Caribbean Health Care System
10 Calle Casia
San Juan, PR 00921-3201 - Phone
- (787) 641-7582
- NPI assigned
- Oct 10, 2007
- Last updated
- May 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 649 | PR | Primary |
Addresses
Primary practice location
VA Caribbean Health Care System
10 Calle Casia
San Juan, PR 00921-3201
Mailing address
Vistas del Atlantico 118
Arecibo, PR 00612
Phone (787) 751-3454
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304001044 | PR | Practitioner - Optometry | 7618012360 | Practice locations: San Sebastian, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Ave Arcadio Estrada
Suite 283 San Sebastian Shopping Center
San Sebastian, PR 00685
Phone (787) 896-7021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1538357066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VISTAS DEL ATLANTICO 118",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-751-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA CARIBBEAN HEALTH CARE SYSTEM",
"address_2": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213201",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN ROMAN",
"first_name": "ROBERTO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "PR",
"license": "649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Reinaldo L. Roman Morales, M.D.
- Stephanie Roman Morales
- Maria L. Roman Orta, M.D.
- Marta Ivelisse Roman Resto, PH.D
- Laura Angelie Roman Rivera
- Felipe Javier Roman Sanchez, NP
- Steven J Roman Troche, MD
- Samari Roman- Gandulla, PSYCHOLOGIST
- Marisabel Roman-Afanador, MPHE, CHES
- Damariz Roman-Collazo, MS SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.