Individual provider Active NPI

Carlos E. Placer Roman, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1851363493
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6328 Issued in PR
Practice address
Calle Santa Rosa 1 San Juan Gardens
Rio Piedras, PR 00926-0926
Phone
(787) 766-0075
Fax
(787) 759-8411
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 485 PR
General Practice Physician 208D00000X 6328 PR Primary

Addresses

Primary practice location

Calle Santa Rosa 1 San Juan Gardens
Rio Piedras, PR 00926-0926

Mailing address

PO Box 3825
Guaynabo, PR 00970-3825
Phone (787) 586-1482

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
I20110318000774 PR Practitioner - General Practice 3274716881 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Calle Santa Rosa
San Juan, PR 00926-5403
Phone (787) 504-9998

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
485PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Management and Wellness Group LLC CurrentSince Nov 4, 2024 Accepting new patients
International Medical Solution LLC Past Accepting new patients

Locations

1 Calle Santa Rosa
San Juan, PR 00926
Phone (787) 504-9998

Organizations & group practices 2

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1851363493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3825",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703825",
            "telephone_number": "787-586-1482",
            "fax_number": "787-759-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA ROSA 1 SAN JUAN GARDENS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009260926",
            "telephone_number": "787-766-0075",
            "fax_number": "787-759-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACER ROMAN",
        "first_name": "CARLOS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "485",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.