Provider Demographics
NPI:1073674685
Name:SAMONTE, ROMEO M (MD)
Entity Type:Individual
Prefix:MR
First Name:ROMEO
Middle Name:M
Last Name:SAMONTE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1757 ARMY DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-1260
Mailing Address - Country:US
Mailing Address - Phone:671-647-4533
Mailing Address - Fax:671-647-1110
Practice Address - Street 1:1757 ARMY DR
Practice Address - Street 2:SUITE 108
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-1260
Practice Address - Country:US
Practice Address - Phone:671-647-4533
Practice Address - Fax:671-647-1110
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2014-03-24
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Provider Licenses
StateLicense IDTaxonomies
GUM001114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GUS0096306Medicaid
GUF06189Medicare UPIN
GUS0096306Medicaid