Mr Jose Samuel Fuentes Roman, PA is a
Student In An Organized Health Care Education/training Program based in Arecibo, Puerto Rico. Mr Jose Samuel Fuentes Roman is licensed to practice in Puerto Rico (license number 17746-I) and his current practice location is
531 Ave Miramar, Arecibo, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(787) 817-1383.
NPI number for Mr Jose Samuel Fuentes Roman is 1376129809 and his current mailing address is Po Box 3102, Arecibo, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376129809.
Provider's Profile
| Full Name | Mr Jose Samuel Fuentes Roman |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 531 Ave Miramar, Arecibo, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376129809
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 06/07/2026
Medical Identifiers
Medical identifiers for Mr Jose Samuel Fuentes Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376129809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 021-P.A. (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 17746-I (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jose Samuel Fuentes Roman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jose Samuel Fuentes Roman, PA
Po Box 3102,
Arecibo, PR 00613-3102
Ph: (787) 363-0228 | Mr Jose Samuel Fuentes Roman, PA
531 Ave Miramar,
Arecibo, PR 00612-4360
Ph: (787) 817-1383 |
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