Provider Demographics
NPI:1124559190
Name:ROMERO, NADIA GABRIELA
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:GABRIELA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 ROSE ST MN 283
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-7001
Mailing Address - Country:US
Mailing Address - Phone:859-323-5057
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST RM MN-283
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-323-5057
Practice Address - Fax:859-257-6024
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4578208800000X
KY57428207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208800000XAllopathic & Osteopathic PhysiciansUrology