Ibis Melissa Roman Guzman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

659 Issued in PR

Practice address

111 Bo Cruce Davila
Barceloneta, PR 00617

Phone

(787) 375-4820

NPI assigned

Sep 13, 2018

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 names 1

• Dr. Ibis M. Roman Guzman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1649753872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CALLE SAN GERONIMO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125320",
            "telephone_number": "787-375-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BO CRUCE DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-375-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN GUZMAN",
        "first_name": "IBIS",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBIS",
            "last_name": "ROMAN GUZMAN",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danilu Rodriguez, MSW
• Javier Rodriguez, MSP
• Jose A Rodriguez, MD
• Omary Charlotte Rodriguez, SLT
• Enid Johan Roman Gonzalez, RN BSN
• Leslie Roman, MSOT
• April Romero Daniels, PT
• Ananissie Rosa
• Angelivette Rosa, PSY.D
• Jahaira Acosta Rosa, M.A.

• Chiropractor in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.