Individual provider Active NPI

Tanya M Roman, D.C.

  • Chiropractor
  • Guaynabo, PR
National Provider Identifier
1770829582
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
505 Issued in PR
Practice address
8 Calle 1 Ste 104 a
Metro Office Park
Guaynabo, PR 00968-1708
Phone
(939) 216-1606
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 505 PR Primary

Addresses

Primary practice location

8 Calle 1 Ste 104 a
Metro Office Park
Guaynabo, PR 00968-1708

Mailing address

8 Calle 1 Ste 104 a
Guaynabo, PR 00968-1708
Phone (939) 216-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625000349 PR Practitioner - Chiropractic 9133344625 Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
505PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Solutions Chiropractor Past Accepting new patients
Clinica Quiropractica Metropolitana C.S.P. Chiropractor PastSince Nov 4, 2024 Accepting new patients

Organizations & group practices 2

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1770829582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE 1 STE 104 A",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681708",
            "telephone_number": "939-216-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE 1 STE 104 A",
            "address_2": "METRO OFFICE PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681708",
            "telephone_number": "939-216-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "TANYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.