Active NPI
Edward Nieves-Roman, M.D.
- Internal Medicine Physician
- Rio Grande, PR
National Provider Identifier
1669580635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8213
- Practice address
- L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825 - Phone
- (787) 888-8888
- Fax
- (787) 888-8887
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8213 | PR | Primary |
Addresses
Primary practice location
L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825
Mailing address
L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825
Phone (787) 888-8888
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140106000999 | PR | Practitioner - Internal Medicine | 4082842620 | Practice locations: Fajardo, PR; Rio Grande, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Villas de Rio Grande
Rio Grande, PR 00745-2825
L2 Calle
Suite 6
Rio Grande, PR 00745-2825
Phone (787) 888-8888
Torre Hima San Pablo
Ave General Valero Suite 203
Fajardo, PR 00738-3988
Phone (787) 860-8886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8213 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edniro Clinical Services PSC | Internal Medicine | Past | Accepting new patients |
| Centro Clinico del Este, PSC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Rio Grande, PR
- NPI 1053482422
-
- Internal Medicine Physician
- Rio Grande, PR
- NPI 1528139847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669580635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L2 CALLE 6",
"address_2": "VILLAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452825",
"telephone_number": "787-888-8888",
"fax_number": "787-888-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "L2 CALLE 6",
"address_2": "VILLAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452825",
"telephone_number": "787-888-8888",
"fax_number": "787-888-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES-ROMAN",
"first_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "8213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- 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.