Justo Manuel Roman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME11223 Issued in FL

Practice address

5255 Office Park Blvd Ste 110
Apc Pediatrics
Bradenton, FL 34203-3443

Phone

(941) 755-7000

Fax

(941) 755-7088

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in VI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647
  Medicare reassignment NPD
• Governor Juan F. Luis Hospital & Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Croix, VI
  • NPI 1740238534
  NPD
• Federico a. Frias MD PA

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1841965407
  NPD (past)
• Federico a. Frias MD PA

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1851317218
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1922065713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 OFFICE PARK BLVD STE 110",
            "address_2": "APC PEDIATRICS",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033443",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 OFFICE PARK BLVD STE 110",
            "address_2": "APC PEDIATRICS",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033443",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUSTO",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VI",
            "license": "1094",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME11223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007370200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everett David Rogers
• Terri Rohde
• Barbara Ellen Rohr, AGPCRN
• Roberto Luis Rolon, DO
• Joseph J Roman, RPH
• Heather Romano, APRN
• Alan Romero
• Ronald S. Acquaro, D.M.,D.,PA
• Ronald T Hadam DPM PA
• Ronda Mitchell-Cosgrove, MSW, LCSW

• Pediatrics Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.

Verify at the official NPI Registry.