Active NPI
Jan C Roman Ithier, M.D.
- Addiction Psychiatry Physician
- Mayaguez, PR
National Provider Identifier
1992938229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 18502
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Migrant Health Center Western Region,Inc | Current | Accepting new patients | |
| Migrant Health Center Western Region, Inc. | Past | 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 | Past | 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.
-
- Adult Mental Health Clinic/Center
- Cidra, PR
- NPI 1063928596
-
- Federally Qualified Health Center (FQHC)
- Mayaguez, PR
- NPI 1609969286
-
- Psychiatry Physician
- Mayaguez, PR
- NPI 1154814408
-
- Clinic/Center
- Ponce, PR
- NPI 1548084635
-
- Adult Mental Health Clinic/Center
- Yauco, PR
- NPI 1972019651
-
- Clinic Pharmacy
- Yauco, PR
- NPI 1093262297
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guayama, PR
- NPI 1114388691
-
- Clinic Pharmacy
- San Sebastian, PR
- NPI 1114064102
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mayaguez, PR
- NPI 1467079749
-
- Radiology Clinic/Center
- Las Marias, PR
- NPI 1508453051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.