Individual provider Active NPI

Dennis Rios Roman

  • Psychologist
  • Juncos, PR
National Provider Identifier
1861724601
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3646 Issued in PR
Practice address
900 Calle Pedro Flores
Urbanizacion Estancias de la Ceiba
Juncos, PR 00777-7833
Phone
(787) 612-7997
NPI assigned
Feb 4, 2010
Reactivated
Feb 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3646 PR Primary

Addresses

Primary practice location

900 Calle Pedro Flores
Urbanizacion Estancias de la Ceiba
Juncos, PR 00777-7833

Mailing address

Urbanizacion Estancias de la Ceiba
900 Calle Pedro Flores
Juncos, PR 00777-7833
Phone (787) 612-7997

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316000514 PR Practitioner - Clinical Psychologist 8527364694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Munoz Rivera 2
309 Centro Medico Profesional
Caguas, PR 00726-2604
Phone (787) 612-7997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: dennis.riosroman.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 1

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1861724601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION ESTANCIAS DE LA CEIBA",
            "address_2": "900 CALLE PEDRO FLORES",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007777833",
            "telephone_number": "787-612-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CALLE PEDRO FLORES",
            "address_2": "URBANIZACION ESTANCIAS DE LA CEIBA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007777833",
            "telephone_number": "787-612-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS ROMAN",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2025-02-07",
        "deactivation_date": "2025-01-23",
        "reactivation_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.