Individual provider Active NPI

Radames C. Roman-Grau, M.D.

  • Gynecology Physician
  • Anasco, PR
National Provider Identifier
1871606657
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8011 Issued in PR
Practice address
No 67 Calle 65 de Infanteria
Policlinica de Anasco of. 102
Anasco, PR 00610
Phone
(787) 826-6008
Fax
(787) 832-9783
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 8011 PR Primary

Addresses

Primary practice location

No 67 Calle 65 de Infanteria
Policlinica de Anasco of. 102
Anasco, PR 00610

Mailing address

701 Calle Coqui
Urb Miradero Gardens
Mayaguez, PR 00682
Phone (787) 826-6008

Other identifiers 1

IdentifierTypeStateIssuer
8011OtherPRSTATE LICENSE

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
I20140805001356 PR Practitioner - Obstetrics/Gynecology 6608093299 Practice locations: Anasco, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8011PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1871606657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CALLE COQUI",
            "address_2": "URB MIRADERO GARDENS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-826-6008",
            "fax_number": "787-832-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NO 67 CALLE 65 DE INFANTERIA",
            "address_2": "POLICLINICA DE ANASCO OF. 102",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-6008",
            "fax_number": "787-832-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-GRAU",
        "first_name": "RADAMES",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "8011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8011",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.