Provider Demographics
NPI:1598804502
Name:ROMERO, MONICA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA MARIA
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 UPTOWN BLVD NE STE 410
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4161
Mailing Address - Country:US
Mailing Address - Phone:505-243-7546
Mailing Address - Fax:
Practice Address - Street 1:6200 UPTOWN BLVD SUITE 410
Practice Address - Street 2:DERMATOLOGY & SKIN CANCER CENTER OF NM
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110
Practice Address - Country:US
Practice Address - Phone:505-243-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2004-0428207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology