Organization Active NPI

Mariano Roman Quiropractico LLC

  • Chiropractor
  • Bayamon, PR
National Provider Identifier
1881297075
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARIANO ROMAN QUIROPRACTICO LLC
Practice address
Urb. Los Almendros
Calle Tilo Ea27
Bayamon, PR 00961
Phone
(787) 627-1453
Fax
(939) 204-2005
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Mariano Roman, DCNPI 1619197712
Title
Dr./ Owner
Phone
(787) 785-2198

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

Urb. Los Almendros
Calle Tilo Ea27
Bayamon, PR 00961

Mailing address

Urb. Los Almendros
Calle Tilo Ea27
Bayamon, PR 00961
Phone (787) 627-1453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221102002459 PR Part B Supplier - Clinic/Group Practice 7416324520 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

EA27 Calle Tilo
Bayamon, PR 00961
Phone (787) 627-1453

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": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1881297075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS ALMENDROS",
            "address_2": "CALLE TILO EA27",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-627-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LOS ALMENDROS",
            "address_2": "CALLE TILO EA27",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-627-1453",
            "fax_number": "939-204-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO ROMAN QUIROPRACTICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "DR./ OWNER",
        "authorized_official_telephone_number": "787-785-2198",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.