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MIGUEL A. ROMAN-DIAZ M.D.
NPI 1679639785
Family Medicine - Sports Medicine in San Juan, PR

Active since January 01, 2007PECOS Enrolled
53.88/100
CMS Quality Rating
909 CALLE ALAMEDA, VILLA GRANADA, SAN JUAN, PR 00923(787) 755-7171(787) 625-3227 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miguel A. Roman-diaz M.d. NPPES

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

MIGUEL A. ROMAN-DIAZ M.D. (NPI 1679639785) is an individual sports medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (9028) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679639785
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMIGUEL A. ROMAN-DIAZCredential: M.D.
Location Address909 CALLE ALAMEDA, VILLA GRANADASan Juan, PR 00923-2719
Mailing Address909 Calle Alameda, Villa GranadaSan Juan, PR 00923-2719 · (787) 688-2779 · Fax (787) 625-3227
Phone(787) 755-7171
Fax(787) 625-3227
Sole ProprietorYes
Enumeration DateJanuary 1, 2007
Last NPPES UpdateApril 13, 2011
✔ NPI 1679639785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PR · 9028
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Other Names 1

Professional Name (2)Dr. Miguel A. Roman-diaz

Other Identifiers 1

Medicare ID-Type Unspecified88907PR · Medicare Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miguel A. Roman-diaz M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Miguel Roman-diaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buffalo Emergency Associates LLP
Emergency Medicine
6653 MAIN ST
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 195 clinicians in this Medicare group
NPI 1508816521 (719) 204-4500
Quentin N Burdick Comprehensive Health Care Facility
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
NPI 1952346934 (701) 477-6111

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
75 services66 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
57 services53 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00923 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

53.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.25
Promoting Interoperability0
Improvement Activities40
Cost36.68

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 Miguel Roman-diaz's NPI number?

The NPI number for Miguel Roman-diaz is 1679639785. It was assigned to this individual provider in the NPPES registry on January 1, 2007. The provider is also known as Dr. Miguel A. Roman-Diaz.

Where is Miguel Roman-diaz located?

Miguel Roman-diaz practices at 909 Calle Alameda Villa Granada, San Juan, PR 00923. The listed phone number is (787) 755-7171.

What is Miguel Roman-diaz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Miguel Roman-diaz enrolled in Medicare?

Yes. Miguel Roman-diaz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miguel Roman-diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Roman-diaz reassigns Medicare benefits to 2 organizations: Buffalo Emergency Associates LLP (Williamsville, NY) and Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND). Each 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 Miguel Roman-diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Roman-diaz accept?

Health plans from Blue Cross Blue Shield of North Dakota list Miguel Roman-diaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miguel Roman-diaz was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.