Individual provider Active NPI

Lucia Perez-Roman, MBA

  • Speech-Language Pathologist
  • Isabela, PR
National Provider Identifier
1801034459
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
744 Issued in PR
Practice address
133 Calle Dr Gonzalez
Isabela, PR 00662-2633
Phone
(787) 872-8365
Fax
(787) 872-4111
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 744 PR Primary

Addresses

Primary practice location

133 Calle Dr Gonzalez
Isabela, PR 00662-2633

Mailing address

133 Calle Dr Gonzalez
Isabela, PR 00662-2633
Phone (787) 872-8365

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
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
744PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Adultos Y Ninos Con Impedimentos Inc PastSince Jun 21, 2019 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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1801034459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CALLE DR GONZALEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622633",
            "telephone_number": "787-872-8365",
            "fax_number": "787-872-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CALLE DR GONZALEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622633",
            "telephone_number": "787-872-8365",
            "fax_number": "787-872-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-ROMAN",
        "first_name": "LUCIA",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.