Individual provider Active NPI

Tamara L Garcia Roman, MD

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1801369038
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022196 Issued in PR
Practice address
1790 Ave Emerito Estrada
San Sebastian, PR 00685-3029
Phone
(787) 280-4085
Fax
(787) 280-4085
NPI assigned
Jan 10, 2019
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14977-I PR
General Practice Physician 208D00000X 022196 PR Primary

Addresses

Primary practice location

1790 Ave Emerito Estrada
San Sebastian, PR 00685-3029

Mailing address

PO Box 67
San Sebastian, PR 00685-0067
Phone (787) 951-4826

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210702000153 PR Practitioner - General Practice 3577964196 Reassigns benefits to 1 organization
Practice locations: San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Calle Jose Mendez Cardona
San Sebastian, PR 00685-0486
Phone (787) 896-1850

Calle Jose Mendez Cardona No
3 2ND Floor Suite 206
San Sebastian, PR 00685-0486
Phone (787) 896-1850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022196PRMDGeneral Practice Physician
14977-IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc CurrentSince Nov 30, 2024 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc CurrentSince Nov 30, 2024 Accepting new patients
Servicios Preventivos de Salud de Puerto Rico, Corp. Past Accepting new patients

Locations

3 Calle J Mendez Cardona
San Sebastian, PR 00685
Phone (787) 280-4335

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1801369038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850067",
            "telephone_number": "787-951-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 AVE EMERITO ESTRADA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853029",
            "telephone_number": "787-280-4085",
            "fax_number": "787-280-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA ROMAN",
        "first_name": "TAMARA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14977-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.