Active NPI
Carlos E. Placer Roman, MD
- General Practice Physician
- Rio Piedras, PR
National Provider Identifier
1851363493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 485 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Management and Wellness Group LLC | Current | 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.
-
- Clinic/Center
- San Juan, PR
- NPI 1265705537
-
- Multi-Specialty Clinic/Center
- Rio Piedras, PR
- NPI 1528525771
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.