Samari Roman- Gandulla, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3040 Issued in PR

Practice address

1452 Ashford
Cond. Adaligia, Suite 308
San Juan, PR 00907-1581

Phone

(787) 649-7212

NPI assigned

Feb 27, 2008

Last updated

Aug 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1871762526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460932",
            "telephone_number": "787-649-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 ASHFORD",
            "address_2": "COND. ADALIGIA, SUITE 308",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071581",
            "telephone_number": "787-649-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN- GANDULLA",
        "first_name": "SAMARI",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Ivelisse Roman Resto, PH.D
• Laura Angelie Roman Rivera
• Roberto Roman Roman
• Felipe Javier Roman Sanchez, NP
• Steven J Roman Troche, MD
• Marisabel Roman-Afanador, MPHE, CHES
• Damariz Roman-Collazo, MS SLP
• Miguel A. Roman-Diaz, M.D.
• Clarissa Roman-Fernandez
• Annette D Roman-Marrero, PH.D., M.S.

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.