Organization Active NPI

Care Professional Health LLC

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1861265571
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CARE PROFESSIONAL HEALTH LLC
Practice address
371 Calle de Diego
San Juan, PR 00923-3002
Phone
(787) 767-5100
NPI assigned
Nov 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Gabriel Hernandez Roman, MDNPI 1245795087
Title
Doctor
Phone
(787) 225-4128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

371 Calle de Diego
San Juan, PR 00923-3002

Mailing address

LM7 Parq Los Modelos
Carolina, PR 00982-3672
Phone (787) 225-4128

Other practice location 1

av dona felisa rincon de gautier
san juan, PR 00926
Phone (787) 302-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415002426 PR Part B Supplier - Clinic/Group Practice 7911422613 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR; Bayamon, PR; San Juan, PR; Humacao, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1861265571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LM7 PARQ LOS MODELOS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823672",
            "telephone_number": "787-225-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233002",
            "telephone_number": "787-767-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "av dona felisa rincon de gautier",
            "address_purpose": "LOCATION",
            "city": "san juan",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-302-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARE PROFESSIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ ROMAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-225-4128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.