Ellis Auda Roman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13797 Issued in PR

Practice address

Metro Oficce Park Lote 18 Calle 1 Suite 400
Guaynabo, PR 00968

Phone

(787) 882-5450

Fax

(787) 882-1125

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831308618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8901",
            "address_2": "POSTALMAIL BOX 028 POSTALOFFICE BOX 8901",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599141",
            "telephone_number": "787-632-4707",
            "fax_number": "787-882-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO OFICCE PARK LOTE 18 CALLE 1 SUITE 400",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-882-5450",
            "fax_number": "787-882-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "ELLIS",
        "middle_name": "AUDA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Roman Mendoza, 0374B
• Adlin Marie Roman Torres, PSY.D.
• Roman Troche Neurology & Headache Clinic LLC
• Blanca Antonia Roman
• Diego Roman
• Francisco Roman, M.D.
• Hilsa Roman, MSW
• Tanya M Roman, D.C.
• Hector Romero Vazquez, 1218P
• Norma I Romero Velez, 1472P

• General Practice Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.