Samari Roman- Gandulla, PSYCHOLOGIST is a medicare enrolled "Clinic/center - Adolescent And Children Mental Health" provider in San Juan, Puerto Rico. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1452 Ashford, Cond. Adaligia, Suite 308, San Juan, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 649-7212.
Samari Roman- Gandulla is licensed to practice in Puerto Rico (license number 3040) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871762526.
Healthcare Provider's Profile
| Full Name | Samari Roman- Gandulla |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 20 Years |
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| Location | 1452 Ashford, San Juan, Puerto Rico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samari Roman- Gandulla graduated from medical school in 2006
NPI Data:
- NPI Number: 1871762526
- Provider Enumeration Date: 02/27/2008
- Last Update Date: 09/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 6204307382
- Enrollment ID: I20260609003748
Medical Identifiers
Medical identifiers for Samari Roman- Gandulla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871762526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 3040 (Puerto Rico) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3040 (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. Samari Roman- Gandulla is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samari Roman- Gandulla, PSYCHOLOGIST
Po Box 932,
Dorado, PR 00646-0932
Ph: (787) 649-7212 | Samari Roman- Gandulla, PSYCHOLOGIST
1452 Ashford, Cond. Adaligia, Suite 308,
San Juan, PR 00907-1581
Ph: (787) 649-7212 |
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