Active NPI
Ramon A. Hernandez Roman, P.T.
- Physical Therapist
- Camuy, PR
National Provider Identifier
1679669204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001124
- Practice address
- #5 Munoz Rivera,Esquina Betances
Camuy, PR 00627 - Phone
- (787) 360-5994
- Fax
- (787) 262-1923
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001124 | PR | Primary |
Addresses
Primary practice location
#5 Munoz Rivera,Esquina Betances
Camuy, PR 00627
Mailing address
PO Box 657
Camuy, PR 00627
Phone (787) 360-5994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000938 | PR | Practitioner - Physical Therapist in Private Practice | 7012103310 | Practice locations: Camuy, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001124 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1679669204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 657",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-360-5994",
"fax_number": "787-262-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#5 MUNOZ RIVERA,ESQUINA BETANCES",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-360-5994",
"fax_number": "787-262-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ ROMAN",
"first_name": "RAMON",
"middle_name": "A.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "001124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.