Nelson Roman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1212 Issued in PR

Practice address

Clinical Las Vegas
Carr #2 KM 46.4 Edif. Las Vegas 420
Manati, PR 00674

Phone

(787) 854-7021

Fax

(787) 854-7021

NPI assigned

Nov 7, 2006

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1902975329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 103",
            "address_2": "425 CARR. 693 STE 1",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469817",
            "telephone_number": "787-262-3007",
            "fax_number": "787-854-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICAL LAS VEGAS",
            "address_2": "CARR #2 KM 46.4 EDIF. LAS VEGAS 420",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-7021",
            "fax_number": "787-854-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "1212",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039100100",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Dora Roman Morales, MD
• Josue Roman Perez, MD
• Ayleen Ivette Roman-Cruz, M.D.
• Carelis M. Roman, O.D.
• Isabel Roman, PH D
• Nicole Marie Romero Oliveras, STUDENT OF MEDICINE
• Hector D Romero Tirado, MD
• Gabriela M. Romero-Gines
• Glaneymi Romero, PSY.D.
• Jose Abimael Rosa Padilla, MD

• Physical Therapist in Manati, PR
• Providers in Manati, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.