Individual provider Active NPI

Maria L. Roman Orta, M.D.

  • Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1669580650
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10591 Issued in PR
Practice address
420 Ave. Munoz Rivera
Suite 701
San Juan, PR 00918
Phone
(787) 765-5678
Fax
(787) 765-5206
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10591 PR Primary

Addresses

Primary practice location

420 Ave. Munoz Rivera
Suite 701
San Juan, PR 00918

Mailing address

40 Capri
Paseo Las Brisas
San Juan, PR 00926-5947
Phone (787) 765-5678

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
I20111219000023 PR Practitioner - Psychiatry 3173798279 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 Ave Ponce de Leon
Edif Midtown Suite 701
Hato Rey, PR 00918-3407

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10591PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novamente Past Accepting new patients
Continuum Mental Care Corp Past Accepting new patients
Continuum Mental Care Corp PastSince Jun 16, 2006 Accepting new patients

Organizations & group practices 3

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.

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": "1322697600000",
    "number": "1669580650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CAPRI",
            "address_2": "PASEO LAS BRISAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265947",
            "telephone_number": "787-765-5678",
            "fax_number": "787-765-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 AVE. MUNOZ RIVERA",
            "address_2": "SUITE 701",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-5678",
            "fax_number": "787-765-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN ORTA",
        "first_name": "MARIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "10591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.