Individual provider Active NPI

Jan C Roman Ithier, M.D.

  • Addiction Psychiatry Physician
  • Mayaguez, PR
National Provider Identifier
1992938229
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
18502 Issued in PR
Practice address
392 Sur Ramon Emeterio Betances
Mayaguez, PR 00680
Phone
(787) 833-5890
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18502 PR
Addiction Psychiatry Physician 2084P0802X 18502 PR Primary

Addresses

Primary practice location

392 Sur Ramon Emeterio Betances
Mayaguez, PR 00680

Mailing address

PO Box 3633
Mayaguez, PR 00681-3633
Phone (787) 833-5890

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190910002584 PR Practitioner - Psychiatry 6204165673 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Puerto Rico School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

392 Sur Ramon Emeterio Betances
Mayaguez, PR 00680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Feb 29, 2020 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Feb 29, 2020 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 24, 2019 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Jul 24, 2019 Accepting new patients
Migrant Health Center Western Region, Inc. PastSince Jul 5, 2020 Accepting new patients
Migrant Health Center Western Region Inc Past Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients
Inspira Mental Health Management PastSince Feb 29, 2020 Accepting new patients
RC Behavioral Welness LLC Psychiatry Past Accepting new patients

Locations

497 Calle Rmn Btnces S
Mayaguez, PR 00680

392 Calle Rmn Btnces S
Mayaguez, PR 00680
Phone (787) 317-5187

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1992938229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3633",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813633",
            "telephone_number": "787-833-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 SUR RAMON EMETERIO BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN ITHIER",
        "first_name": "JAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18502",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "PR",
            "license": "18502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.