Provider Demographics
NPI:1376127522
Name:DR ROMAIN ONTENIENTE LLC
Entity Type:Organization
Organization Name:DR ROMAIN ONTENIENTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROMAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONTENIENTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-439-1195
Mailing Address - Street 1:2017 WOODLEAF HAMMOCK CT
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-0508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:907 25TH DR E
Practice Address - Street 2:
Practice Address - City:ELLENTON
Practice Address - State:FL
Practice Address - Zip Code:34222-2053
Practice Address - Country:US
Practice Address - Phone:941-417-7386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty