Annette D Roman-Marrero, PH.D., M.S.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7617 Issued in PR

Practice address

Calle S Cuevas Bustamante, Urb. Parq. Central
525
San Juan, PR 00918-2642

Phone

(787) 614-9285

NPI assigned

Oct 29, 2018

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

Practice roles

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.

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1841767860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CALLE CUEVAS BUSTAMANTE",
            "address_2": "PARQ CENTRAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182642",
            "telephone_number": "787-614-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE S CUEVAS BUSTAMANTE, URB. PARQ. CENTRAL",
            "address_2": "525",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182642",
            "telephone_number": "787-614-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-MARRERO",
        "first_name": "ANNETTE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7617",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7617",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "7617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396147724",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY",
            "identifier": "7617",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samari Roman- Gandulla, PSYCHOLOGIST
• Marisabel Roman-Afanador, MPHE, CHES
• Damariz Roman-Collazo, MS SLP
• Miguel A. Roman-Diaz, M.D.
• Clarissa Roman-Fernandez
• Rosa L Roman-Oyola, OTR
• Allen Roman-Roubert
• Nayda Ivette Roman-Vazquez, PHD
• Adalberto F Roman
• Alexis Jadriel Roman Sr.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.