Active NPI
Miguel A. Roman-Diaz, M.D.
- Sports Medicine (Family Medicine) Physician
- San Juan, PR
National Provider Identifier
1679639785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 9028
- Practice address
- 909 Calle Alameda
Villa Granada
San Juan, PR 00923-2719 - Phone
- (787) 755-7171
- Fax
- (787) 625-3227
- NPI assigned
- Jan 1, 2007
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 9028 | PR | Primary |
Addresses
Primary practice location
909 Calle Alameda
Villa Granada
San Juan, PR 00923-2719
Mailing address
909 Calle Alameda
Villa Granada
San Juan, PR 00923-2719
Phone (787) 688-2779
Other names 1
- Dr. Miguel A. Roman-Diaz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 42.91 of 100
- Quality
- 5.54
- Improvement activities
- 40
- Cost
- 66.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9028 | PR | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | Current | Accepting new patients | |
| Buffalo Emergency Associates LLP | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Past | Accepting new patients |
Locations
1300 Hospital Loop
Belcourt, ND 58316
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
4100 W 150th St
#3
Cleveland, OH 44135
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.
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Rural Acute Care Hospital
- Belcourt, ND
- NPI 1952346934
TX
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1679639785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 CALLE ALAMEDA",
"address_2": "VILLA GRANADA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009232719",
"telephone_number": "787-688-2779",
"fax_number": "787-625-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 CALLE ALAMEDA",
"address_2": "VILLA GRANADA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009232719",
"telephone_number": "787-755-7171",
"fax_number": "787-625-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN-DIAZ",
"first_name": "MIGUEL",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PR",
"license": "9028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIGUEL",
"last_name": "ROMAN-DIAZ",
"middle_name": "A.",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.