Individual provider Active NPI

Michael Babilonia Roman, M.D.

  • Rheumatology Physician
  • Mayaguez, PR
National Provider Identifier
1720088057
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
10534 Issued in PR
Practice address
Ave. Los Corazones, Edificio Medico Profesional #1065
Suite 212
Mayaguez, PR 00680
Phone
(787) 834-1964
Fax
(787) 831-2224
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 10534 PR Primary

Addresses

Primary practice location

Ave. Los Corazones, Edificio Medico Profesional #1065
Suite 212
Mayaguez, PR 00680

Mailing address

Ave. Los Corazones, Edificio Medico Profesional #1065
Suite 212
Mayaguez, PR 00680
Phone (787) 834-1964

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
I20110526000461 PR Practitioner - Internal MedicinePractitioner - Rheumatology 5395922496 Practice locations: Mayaguez, PR; San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Calle Hostos
San Sebastian, PR 00685-2301
Phone (787) 896-5497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10534PRMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Omar J Perez Jimenez Gastroenterologo CSP PastSince Dec 21, 2009 Accepting new patients

Organizations & group practices 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1720088057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. LOS CORAZONES, EDIFICIO MEDICO PROFESIONAL #1065",
            "address_2": "SUITE 212",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-1964",
            "fax_number": "787-831-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LOS CORAZONES, EDIFICIO MEDICO PROFESIONAL #1065",
            "address_2": "SUITE 212",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-1964",
            "fax_number": "787-831-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABILONIA ROMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "10534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.