Provider Demographics
NPI:1003870494
Name:ROMERO, CESAR (MD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:ROMERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1336 MILITARY ST S
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:AL
Mailing Address - Zip Code:35570-5005
Mailing Address - Country:US
Mailing Address - Phone:800-223-6409
Mailing Address - Fax:205-921-9990
Practice Address - Street 1:1336 MILITARY ST S
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570-5005
Practice Address - Country:US
Practice Address - Phone:800-223-6409
Practice Address - Fax:205-921-9990
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020518207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118750Medicaid
AL009998320Medicaid
ALG56842Medicare UPIN
AL051510348Medicare ID - Type Unspecified