Provider Demographics
NPI:1245391168
Name:ROMANELLI, DANIEL ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALBERTO
Last Name:ROMANELLI
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:PO BOX 4624
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4624
Mailing Address - Country:US
Mailing Address - Phone:956-362-3980
Mailing Address - Fax:956-362-3979
Practice Address - Street 1:4770 N EXPRESSWAY STE 305A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4165
Practice Address - Country:US
Practice Address - Phone:956-362-3980
Practice Address - Fax:956-362-3979
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3967207XX0005X
NMMD2004-0718207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM09923811Medicaid