Provider Demographics
NPI:1295863843
Name:ROMAGUERA, JOSEFINA (MD MPH)
Entity Type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:
Last Name:ROMAGUERA
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TORRE AUXIOLIO MUTUO OFICINA 614
Mailing Address - Street 2:AVE. PONCE DE LEON PARADA 37.5
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:787-274-0113
Mailing Address - Fax:787-764-7881
Practice Address - Street 1:TORRE AUXIOLIO MUTUO OFICINA 614
Practice Address - Street 2:AVE. PONCE DE LEON PARADA 37.5
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-274-0113
Practice Address - Fax:787-764-7881
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7125207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
20809Medicare ID - Type Unspecified
D95177Medicare UPIN