Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Guillermo A. San Roman, MD

Individual provider Cardiovascular Disease Physician · NPI 1386668499

Guillermo A. San Roman, MD is a Cardiovascular Disease (Cardiology) in Deer Park, New York. Graduated from Pennsylvania State University College of Medicine in 1981, 45 years ago. Practices with North Shore - Lij Cardiology at Deer Park PC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
45
Trained at
Pennsylvania State University College of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1630 Deer Park Ave
Deer Park, NY 11729-5210
Phone: (631) 242-6166
Fax: (631) 242-8768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 150903 (NY)

Record details

NPI number1386668499
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJanuary 20, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice North Shore - Lij Cardiology At Deer Park Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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