Samari Roman- Gandulla, PSYCHOLOGIST is a
Clinic/center - Adolescent And Children Mental Health based in San Juan, Puerto Rico. Samari Roman- Gandulla is licensed to practice in Puerto Rico (license number 3040) and her current practice location is
1452 Ashford, Cond. Adaligia, Suite 308, San Juan, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at
(787) 649-7212.
NPI number for Samari Roman- Gandulla is 1871762526 and her current mailing address is Po Box 932, Dorado, Puerto Rico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871762526.
Healthcare Provider's Profile
| Full Name | Samari Roman- Gandulla |
|---|
| Gender | Female |
|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
|---|
| Location | 1452 Ashford, San Juan, Puerto Rico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871762526
- Provider Enumeration Date: 02/27/2008
- Last Update Date: 09/08/2011
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 |
|---|
| 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
NOT enrolled with medicare and thus cannot 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 |
Reviews and Comments