Active NPI
Mayra Anabela Roman, PHD
- Pharmacist
- Camuy, PR
National Provider Identifier
1760022446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4292
- Practice address
- Carr 119 KM 0.3 Ave. Ino Roman
Camuy, PR 00627 - Phone
- (787) 356-4125
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4292 | PR | Primary |
Addresses
Primary practice location
Carr 119 KM 0.3 Ave. Ino Roman
Camuy, PR 00627
Mailing address
PO Box 1918
Hatillo, PR 00659
Phone (787) 356-4125
Other names 1
- Mayra Anabela Roman
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4292 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1760022446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1918",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-356-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 119 KM 0.3 AVE. INO ROMAN",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-356-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "MAYRA",
"middle_name": "ANABELA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRA",
"last_name": "ROMAN",
"middle_name": "ANABELA",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.