Provider Demographics
NPI:1821463472
Name:ROMERO, CHRISTIAN E
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:E
Last Name:ROMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:CHRISTIAN
Other - Middle Name:E
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHS
Mailing Address - Street 1:E2 CALLE 4
Mailing Address - Street 2:URB ROSA MARIA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE 4 E2 ROSA MARIA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00985
Practice Address - Country:UM
Practice Address - Phone:787-364-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1154101YP2500X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)