Provider Demographics
NPI:1528025681
Name:ROMERO, ANGEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:E
Last Name:ROMERO
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 149
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0149
Mailing Address - Country:US
Mailing Address - Phone:787-844-5061
Mailing Address - Fax:
Practice Address - Street 1:LORRAINE MEDICAL CENTER
Practice Address - Street 2:1681 PASEO VILLA FLORES SUITE 205
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2954
Practice Address - Country:US
Practice Address - Phone:787-844-5061
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR008796208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE97066Medicare UPIN