Miguel A. Roman Villanueva, M.D

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

20339 Issued in PR

Practice address

Carr #2 KM 86.6 Int Marginal Norte
Hatillo, PR 00659-1847

Phone

(787) 898-4190

Fax

(787) 898-3619

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corporacion Servicios Medicos Primarios Y Prevencion de HatilloGroup PAC ID 6204014913, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

  • Federally Qualified Health Center (FQHC)
  • Hatillo, PR
  • NPI 1306877279

  General Practice

  Medicare reassignment Care Compare group NPD
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo

  • General Practice Dentistry
  • Hatillo, PR
  • NPI 1265117998
  NPD
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo

  • Community/Retail Pharmacy
  • Hatillo, PR
  • NPI 1659406015
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1801061981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590907",
            "telephone_number": "787-898-4190",
            "fax_number": "787-262-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 86.6 INT MARGINAL NORTE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591847",
            "telephone_number": "787-898-4190",
            "fax_number": "787-898-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN VILLANUEVA",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17126",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PR",
            "license": "20339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rodriguez, MAPT
• Carlina Roman Abrams
• Christian Yamil Roman Acevedo
• Elvis Roman Almodovar Sr., MS,SLP
• Katiana Roman Guerrios, MSW
• Barbara J Roman, MSW
• Emily Esther Roman, MA,
• Wildalys Roman
• Yanitza Roman, 004889
• Liz Annette Romero-Perez, AUD

• Federally Qualified Health Center (FQHC) in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Federally Qualified Health Center (FQHC) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.