Active NPI
Roman Carlo Medical Services PSC
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1962751404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ROMAN CARLO MEDICAL SERVICES PSC
- Practice address
- 55 Calle Dr Basora N
Edif Medico IV
Mayaguez, PR 00680-4810 - Phone
- (787) 805-5805
- Fax
- (787) 508-4895
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Roman Carlo, M.D,
- Title
- Director
- Phone
- (787) 805-5705
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
55 Calle Dr Basora N
Edif Medico IV
Mayaguez, PR 00680-4810
Mailing address
55 Calle Dr Basora N
Edif Medico IV
Mayaguez, PR 00680-4810
Phone (787) 805-5805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Mayaguez, PR
- NPI 1295726578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1962751404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA N",
"address_2": "EDIF MEDICO IV",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804810",
"telephone_number": "787-805-5805",
"fax_number": "787-508-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE DR BASORA N",
"address_2": "EDIF MEDICO IV",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804810",
"telephone_number": "787-805-5805",
"fax_number": "787-508-4895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMAN CARLO MEDICAL SERVICES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "ROMAN CARLO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-805-5705",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D,"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.