Individual provider Active NPI

Juan Carlos Roman, M.D

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1851510036
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14552 Issued in PR
Practice address
Adler Medical Plaza
576 Calle Cesar Gonzalez Ste 204
San Juan, PR 00918-3757
Phone
(787) 998-0188
Fax
(787) 998-0994
NPI assigned
Apr 25, 2007
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14552 PR Primary

Addresses

Primary practice location

Adler Medical Plaza
576 Calle Cesar Gonzalez Ste 204
San Juan, PR 00918-3757

Mailing address

303 Calle Villamil Apt 1201
San Juan, PR 00907-2896
Phone (787) 998-0188

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
I20050504000213 PR Practitioner - Internal MedicinePractitioner - General Practice 6406896984 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Cesar Gonazalez
576 Suite 406
Hato Rey, PR 00918
Phone (787) 998-0188

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1851510036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CALLE VILLAMIL APT 1201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072896",
            "telephone_number": "787-998-0188",
            "fax_number": "787-998-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADLER MEDICAL PLAZA",
            "address_2": "576 CALLE CESAR GONZALEZ STE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183757",
            "telephone_number": "787-998-0188",
            "fax_number": "787-998-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.