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

Individual provider Physician Assistant · NPI 1861230658

Mariela Roman, PA is a Physician Assistant in Caguas, Puerto Rico. Graduated from San Juan Bautista School of Medicine in 2024, 2 years ago. Works from 2 locations. Licensed in North Carolina.

Years since qualifying
2
Trained at
San Juan Bautista School of Medicine
Licensed in
NC
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Carr 172 Urb Turabo Gdns
Caguas, PR 00725
Phone: (787) 653-0550

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 140 Charlois Blvd, Winston Salem, NC 27103-1522 — (336) 716-4131

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-16161 (NC)

Record details

NPI number1861230658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2024
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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