SAMARI ROMAN- GANDULLA PSYCHOLOGIST
NPI 1871762526
Clinic/Center - Adolescent and Children Mental Health in San Juan, PR

Q: What is Samari Roman- Gandulla's NPI number?

The NPI number for Samari Roman- Gandulla is 1871762526. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Q: What is Samari Roman- Gandulla's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since February 27, 2008Accepts Medicare Assignment

1452 ASHFORD, COND. ADALIGIA, SUITE 308, SAN JUAN, PR 00907(787) 649-7212 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samari Roman- Gandulla Psychologist NPPES

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

SAMARI ROMAN- GANDULLA PSYCHOLOGIST (NPI 1871762526) is an individual adolescent and children mental health provider in San Juan, Puerto Rico, licensed in Puerto Rico (3040) and active in the NPI registry since February 2008. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1871762526

Entity TypeIndividualFemale

Primary Taxonomy261QM0855X

Provider Legal NameSAMARI ROMAN- GANDULLACredential: PSYCHOLOGIST

Location Address1452 ASHFORD, COND. ADALIGIA, SUITE 308San Juan, PR 00907-1581

Mailing AddressPo Box 932Dorado, PR 00646-0932 · (787) 649-7212

Phone(787) 649-7212

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 27, 2008

Last NPPES UpdateSeptember 8, 2011

✔ NPI 1871762526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in PR · 3040

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedPsychologistTaxonomy 103T00000X · License 3040 (PR)

1452 ASHFORD, San Juan, PR 00907

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samari Roman- Gandulla Psychologist 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 ID6204307382

PECOS Enrollment IDI20260609003748

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00907 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

$172.44 typical visit price

range $56.86 – $172.44

Typical copayment $43.11 (range $14.21 – $43.11)

Most-billed visit code 99205

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.

Other Providers at the Same Location NPPES

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

DR. NURIA ALICIA SABATE MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1452 ASHFORD, SUITE 5
SAN JUAN, PR 00907

San Juan Municipio (787) 723-6907

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 Samari Roman- Gandulla's NPI number?

The NPI number for Samari Roman- Gandulla is 1871762526. It was assigned to this individual provider in the NPPES registry on February 27, 2008.

Where is Samari Roman- Gandulla located?

Samari Roman- Gandulla practices at 1452 Ashford Cond. Adaligia, Suite 308, San Juan, PR 00907. The listed phone number is (787) 649-7212.

What is Samari Roman- Gandulla's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Samari Roman- Gandulla enrolled in Medicare?

Yes. Samari Roman- Gandulla 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.

When was this NPI record last updated?

The NPPES record for Samari Roman- Gandulla was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.