DR. ANGEL OMAR ROMAN DOMINGUEZ
NPI 1508565847
General Practice in Manati, PR

Active since February 27, 2023PECOS Enrolled

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Feb 27, 2023 (2 updates tracked since 2023).

About Dr. Angel Omar Roman Dominguez NPPES

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

DR. ANGEL OMAR ROMAN DOMINGUEZ (NPI 1508565847) is an individual general practice provider in Manati, Puerto Rico, licensed in Puerto Rico (23633) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508565847
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ANGEL OMAR ROMAN DOMINGUEZ
Location Address55 AVE LUNAManati, PR 00674-4819
Mailing AddressPo Box 764Barceloneta, PR 00617-0764 · (787) 473-1786
Sole ProprietorYes
Enumeration DateFebruary 27, 2023
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1508565847 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 · 23633
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Angel Omar Roman Dominguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Angel Roman Dominguez's NPI number?

The NPI number for Angel Roman Dominguez is 1508565847. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Angel Roman Dominguez located?

Angel Roman Dominguez practices at 55 Ave Luna, Manati, PR 00674. The listed phone number is (787) 473-1786.

What is Angel Roman Dominguez's specialty?

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

Is Angel Roman Dominguez enrolled in Medicare?

Yes. Angel Roman Dominguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angel Roman Dominguez was last updated on February 7, 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.