Active NPI
Luis Angel Roman Bermudez
- School Psychologist
- San Juan, PR
National Provider Identifier
1740163039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 7443
- Practice address
- Cond. Crystal House Apt 401
Calle de Diego 368
San Juan, PR 00923 - Phone
- (787) 457-6523
- NPI assigned
- Jul 26, 2025
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 7443 | PR | Primary |
Addresses
Primary practice location
Cond. Crystal House Apt 401
Calle de Diego 368
San Juan, PR 00923
Mailing address
Cond. Crystal House Apt 401
Calle de Diego 368
San Juan, PR 00923
Phone (787) 457-6523
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 |
|---|---|---|---|
| 7443 | PR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753488000000",
"number": "1740163039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. CRYSTAL HOUSE APT 401",
"address_2": "CALLE DE DIEGO 368",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00923",
"telephone_number": "787-457-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. CRYSTAL HOUSE APT 401",
"address_2": "CALLE DE DIEGO 368",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00923",
"telephone_number": "787-457-6523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN BERMUDEZ",
"first_name": "LUIS",
"middle_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-26",
"last_updated": "2025-07-26",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "7443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.