Active NPI
Radames C. Roman-Grau, M.D.
- Gynecology Physician
- Anasco, PR
National Provider Identifier
1871606657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 8011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8011 | Other | PR | STATE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8011 | PR | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.