Provider Demographics
NPI:1467960096
Name:ROMERO, MARCOS LUIS (RN)
Entity Type:Individual
Prefix:
First Name:MARCOS
Middle Name:LUIS
Last Name:ROMERO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6246 S CLERMONT CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-3209
Mailing Address - Country:US
Mailing Address - Phone:303-625-3997
Mailing Address - Fax:303-625-3997
Practice Address - Street 1:6246 S CLERMONT CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-3209
Practice Address - Country:US
Practice Address - Phone:303-625-3997
Practice Address - Fax:303-625-3997
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0204629163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse