Physician Compare National (NPI:1619197712)

HEALTHCARE PROVIDER: DR. MARIANO ROMAN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619197712
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0446538177
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161031001024
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROMAN
	Individual professional last name
Provider First Name	MARIANO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	CALLE TILO E-A
	Group Practice or individual's line 1 address
Line 2 Street Address	27 URB LOS ALMENDROS
	Group Practice or individual's line 2 address
City	BAYAMON
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	009613415
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7877852198
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M