Active NPI
Xavier Roman-Acosta, PSYCHOLOGIST
- Psychologist
- Bayamon, PR
National Provider Identifier
1700503281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7258
- Practice address
- 1075 Carr 2 Apt 220
Bayamon, PR 00959-7274 - Phone
- (787) 538-0705
- NPI assigned
- Oct 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 7258 | PR | |
| Psychologist | 103T00000X | 7258 | PR | Primary |
Addresses
Primary practice location
1075 Carr 2 Apt 220
Bayamon, PR 00959-7274
Mailing address
HC 5 Box 25973
Lajas, PR 00667-9478
Phone (787) 538-0705
Other practice location 1
839 Calle Anasco Apt 412
San Juan, PR 00925-2452
Phone (787) 538-0705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7258 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1700503281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 25973",
"city": "LAJAS",
"state": "PR",
"postal_code": "006679478",
"telephone_number": "787-538-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 CARR 2 APT 220",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009597274",
"telephone_number": "787-538-0705"
}
],
"practiceLocations": [
{
"address_1": "839 Calle Anasco Apt 412",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009252452",
"country_code": "US",
"telephone_number": "787-538-0705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN-ACOSTA",
"first_name": "XAVIER",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "PR",
"license": "7258",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "7258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.