Mario Luis Roman (NPI# 1508937368, PAC ID# 6800895533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508937368 |
| PAC ID by PECOS | 6800895533 |
| Professional Enrollment ID | I20061207000082 |
| Full Name | Mario Luis Roman |
| Address |
18 Ave Severiano Cuevas Aguadilla PR 00603-5500 |
| Phone Number | 7878191010 |
| Gender | M |
| Credential | MD |
| Medical School | PONCE SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 400079 | HOSP COMUNITARIO BUEN SAMARITANO |
| Address | Phone | Organization |
|---|---|---|
| 18 Ave Severiano Cuevas, Aguadilla, PR 00603-5500 | 7878191010 |
| Street Address |
18 AVE SEVERIANO CUEVAS |
| City | AGUADILLA |
| State | PR |
| Zip | 00603-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mabel M Bonilla | Obstetrics/gynecology | 18 Ave Severiano Cuevas, Aguadilla, PR 00603-5500 | |
| Fidel C De Frias Jimenez | Pathology | 18 Ave Severiano Cuevas, Aguadilla, PR 00603-5500 | |
| Myrna Muniz Ortega | Internal Medicine | 18 Ave Severiano Cuevas, Aguadilla, PR 00603-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wanda I Talavera Muniz | Clinical Psychologist | Carretera Pr 2 Km 122, Centro De Evaluacion Y Psicoterapia Eutimia, Aguadilla, PR 00603 | |
| Vanessa L Ortiz Gonzalez | Internal Medicine | Carr Pr 107 Km 6 Barrio Camaceye, Aguadilla, PR 00603 | |
| Rafael A Rodriguez | Obstetrics/gynecology | Carr 2 Km 129, Aguadilla Medical Services Suite 206, Aguadilla, PR 00603 | |
| Yomarid Quinones Badillo | Gastroenterology | Carr 2 Km 414, Bo Caimital Bajo, Aguadilla, PR 00603 | |
| Asa Reuben Frey | Chiropractic | Edificio Roman Local, 1 Carr. 107 Km 1.1, Aguadilla, PR 00603 | |
| Modesto Gonzalez | General Practice | 2 9 Carr 107 Km, Aguadilla, PR 00603 | |
| Janice Sanchez Munoz | General Practice | 703 Calle Belt, Aguadilla, PR 00603 | |
| Mirelis Miranda Galloza | Internal Medicine | 141 7 Carr 2 Km, Aguadilla, PR 00603 | |
| Daisy Pellot-rodriguez | Psychologist, Clinical | Carr 111 Km 0, Bo Palmar Centro De Servicios Psicologicos Puentes, Aguadilla, PR 00603 | |
| Melba Sotomayor | Neurology | 24 Severiano Cuevas Ave, Aguadilla Medical Plaza Suite 201, Aguadilla, PR 00603 | |
| Find all physicians in zip 00603 | |||
| City | AGUADILLA |
| Zip Code | 00603 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AGUADILLA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mario Luis Roman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.