Marta Ivelisse Roman Resto, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2809 Issued in PR

Practice address

Iturregui Plaxa
Suite 217-a
San Juan, PR 00926-0000

Phone

(787) 768-5501

Fax

(787) 768-8094

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710107222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAXA",
            "address_2": "SUITE 217-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-768-5501",
            "fax_number": "787-768-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ITURREGUI PLAXA",
            "address_2": "SUITE 217-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-768-5501",
            "fax_number": "787-768-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN RESTO",
        "first_name": "MARTA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Roman Marengo
• Mohamed Roman Martinez, MD
• Reinaldo L. Roman Morales, M.D.
• Stephanie Roman Morales
• Maria L. Roman Orta, M.D.
• Laura Angelie Roman Rivera
• Roberto Roman Roman
• Felipe Javier Roman Sanchez, NP
• Steven J Roman Troche, MD
• Samari Roman- Gandulla, PSYCHOLOGIST

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.