Provider Demographics
NPI:1548404296
Name:ROMERO, TOMAS (DPT)
Entity Type:Individual
Prefix:
First Name:TOMAS
Middle Name:
Last Name:ROMERO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 SINGER BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5868
Mailing Address - Country:US
Mailing Address - Phone:505-341-6673
Mailing Address - Fax:505-843-9475
Practice Address - Street 1:3800 SINGER BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-5868
Practice Address - Country:US
Practice Address - Phone:505-341-6673
Practice Address - Fax:505-843-9475
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2009-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist