Individual provider Active NPI

Oscar Garcia Roman, MD

  • General Practice Physician
  • Canovanas, PR
National Provider Identifier
1588776181
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9221 Issued in PR
Practice address
58 Calle Corchado
Canovanas, PR 00729-3102
Phone
(787) 256-2015
Fax
(787) 256-5043
NPI assigned
Aug 31, 2006
Last updated
Aug 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 9221 PR
General Practice Physician 208D00000X 9221 PR Primary

Addresses

Primary practice location

58 Calle Corchado
Canovanas, PR 00729-3102

Mailing address

PO Box 1674
Canovanas, PR 00729-1674
Phone (787) 256-2015

Other identifiers 1

IdentifierTypeStateIssuer
060284OtherPROVIDER

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000009 PR Practitioner - General Practice 0446296297 Reassigns benefits to 2 organizations
Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9221PRMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico Familiar del Este Legal Medicine CurrentSince Aug 28, 2019 Accepting new patients
Instituto Medico Familiar del Este Past Accepting new patients
Laboratorio Clinico Oscar Inc PastSince Jan 1, 2023 Accepting new patients

Locations

58 Calle Corchado
Canovanas, PR 00729
Phone (787) 256-2015

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1588776181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1674",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291674",
            "telephone_number": "787-256-2015",
            "fax_number": "787-256-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE CORCHADO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293102",
            "telephone_number": "787-256-2015",
            "fax_number": "787-256-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ROMAN",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "9221",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "060284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.