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Jose C Roman , BOC

Physician β€’ Bayamon, PR

Deactivated NPI 1750529905 Deactivated in NPPES Male Practitioner
Practice location in NPPES

Calle 17 N32, Extencion Villa Rica
Bayamon, PR 00959

Phone: 7872694814

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 29, 2017; the reason is not published. The records below are historical. They do not show whether Jose Roman currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date January 27, 2009
NPI Deactivation Date November 29, 2017
NPI Active Period 2009 – 2017

Practice Location & Contact Primary Location

Practice Address

Calle 17 N32
Extencion Villa Rica

Bayamon, PR 00959

Telephone 7872694814

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Bayamon and Puerto Rico

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES PR 2259289

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Puerto Rico State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated November 29, 2017

NPPES lists this NPI as deactivated as of November 29, 2017; the reason is not published.

βœ…
NPI Profile Active January 27, 2009

NPI status registered as active in NPPES database

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Practice Location (Initial Record) January 27, 2009

Registered at CALLE 17 N32, EXTENCION VILLA RICA, BAYAMON, PR 00959 (Tel: 7872694814)

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Business Mailing Address (Initial Record) January 27, 2009

Registered at CALLE 17 N32, EXTENCION VILLA RICA, BAYAMON, PR 00959 (Tel: 7872694814)

πŸ‘€
Provider Name / Credentials (Initial Record) January 27, 2009

Recorded as JOSE ROMAN, BOC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2009

Prosthetic/Orthotic Supplier (license number reported to NPPES: PR 2259289)

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Initial NPI Registration & Enumeration January 27, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750529905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2009
Last Update: January 27, 2009
Deactivation Date: November 29, 2017

Mailing Address

Calle 17 N32, Extencion Villa Rica

Bayamon, PR 00959

Phone: 7872694814

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.