Laura Esther Faris-Roman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5663 Issued in PR

Practice address

Street Number 2, KM 8.2
Antiguo Hospital Mepsi Center
Bayamon, PR 00934

Phone

(787) 763-7575

NPI assigned

Jul 11, 2013

Last updated

Jan 25, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Centro Psicologico Ilo SE LLC

  • Clinical Psychologist
  • Canovanas, PR
  • NPI 1427731538
  NPD (past)
• Centro Psicologico Ilo, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1902239114

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1659712255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20497",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280497",
            "telephone_number": "787-634-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET NUMBER 2, KM 8.2",
            "address_2": "ANTIGUO HOSPITAL MEPSI CENTER",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00934",
            "telephone_number": "787-763-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 CALLE PARANA",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263145",
            "country_code": "US",
            "telephone_number": "787-765-7063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARIS-ROMAN",
        "first_name": "LAURA",
        "middle_name": "ESTHER",
        "name_prefix": "Miss",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilma M Falgas, SOCIAL WORKER
• Family Healthcare Group LLC
• Family Medical Clinic LLC
• Family Practice Specialists
• Letzy Caridad Fantauzzi
• Farma Distributors Inc (Farmarket Bella Vista)
• Farma Distributors Inc (Farmarket Bella Vista)
• Farmacia Are
• Farmacia Asturias LLC (Farmacia Asturias)
• Farmacia Beverly

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.