MEDICARE: DR. ANNETTE D ROMAN-MARRERO PH.D., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	7617	PR
2	103TF0000X	Family Psychologist	7617	PR
3	103TC0700X	Clinical Psychologist	7617	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7617	OTHER	PR	PSYCHOLOGY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841767860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE D ROMAN-MARRERO PH.D., M.S.

Provider Business Mailing Address
First Line	:	525 CALLE CUEVAS BUSTAMANTE
Second Line	:	PARQ CENTRAL
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2642
Country	:	US
Telephone Number	:	787-614-9285
Fax Number	:

Provider Business Practice Location Address
First Line	:	CALLE S CUEVAS BUSTAMANTE, URB. PARQ. CENTRAL
Second Line	:	525
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2642
Country	:	US
Telephone Number	:	787-614-9285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2018
Last Update Date	:	08/15/2025

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Directions to “ DR. ANNETTE D ROMAN-MARRERO PH.D., M.S.” Practice Location

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