Giselle Roman Mora, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

660 Issued in PR

Practice address

511 Ave Jose a Cedeno
Suite 6
Arecibo, PR 00612-4695

Phone

(787) 880-3362

NPI assigned

Feb 9, 2009

Last updated

Jun 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20/20 Eye Vision

  • Eyewear Supplier
  • Arecibo, PR
  • NPI 1255657458
  NPD (past)
• Jarock a Gonzalez Inc

  • Eyewear Supplier
  • Arecibo, PR
  • NPI 1669525101
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1740429190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DORADO A20",
            "address_2": "142 ESTANCIAS DE MANATI",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-510-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 AVE JOSE A CEDENO",
            "address_2": "SUITE 6",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124695",
            "telephone_number": "787-880-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN MORA",
        "first_name": "GISELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose A Rolon-Marina
• Arnaldo Jose Roman Acevedo
• Roman Dental LLC
• Suely J Roman Lopez, MD, MPH
• Alondra Roman Miranda, PHARMD
• Stephannie M Roman Moreno, DC
• Miguel A Roman Pagan, MD
• Telly Roman Rocca, DMD
• Yesenia A Roman Rosa
• Ovidio Roman Santiago, RN

• Optometrist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.