PEDRO IVAN ROMAN SIERRA MD
NPI 1477246650
General Practice in Camuy, PR

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
63 AVE MUNOZ RIVERA E, CAMUY, PR 00627(787) 898-2660(787) 262-1210 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2024, Jun 1, 2023 (2 updates tracked since 2023).

About Pedro Ivan Roman Sierra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO IVAN ROMAN SIERRA MD (NPI 1477246650) is an individual general practice provider in Camuy, Puerto Rico, licensed in Puerto Rico (23645) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477246650
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePEDRO IVAN ROMAN SIERRACredential: MD
Location Address63 AVE MUNOZ RIVERA ECamuy, PR 00627-2630
Mailing AddressHc 6 Box 61090Camuy, PR 00627-9369 · (939) 429-2164
Fax(787) 262-1210
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 1, 2023
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1477246650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 23645
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pedro Ivan Roman Sierra Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476993163
PECOS Enrollment IDI20240429001031
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pedro Roman Sierra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
AVENIDA MUNOZ RIVERA # 63
Camuy, PR 00627
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627
Family Medicine
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627
Counselor (Mental Health)
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627
Counselor (Addiction (Substance Use Disorder))
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627
Clinic/Center (Community Health)
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627
Social Worker (Clinical)
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627
Nurse Practitioner (Family)
63 AVE MUNOZ RIVERA E
CAMUY, PR 00627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Roman Sierra's NPI number?

The NPI number for Pedro Roman Sierra is 1477246650. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Pedro Roman Sierra located?

Pedro Roman Sierra practices at 63 Ave Munoz Rivera E, Camuy, PR 00627. The listed phone number is (787) 898-2660.

What is Pedro Roman Sierra's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Pedro Roman Sierra enrolled in Medicare?

Yes. Pedro Roman Sierra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Pedro Roman Sierra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Roman Sierra reassigns Medicare benefits to Camuy Health Services, Inc. (Camuy, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Roman Sierra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro Roman Sierra was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.