Provider Demographics
NPI:1891714390
Name:ROMERO, ANGEL FRANCISCO (OD)
Entity Type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:FRANCISCO
Last Name:ROMERO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:J11 CALLE 3
Mailing Address - Street 2:TERRAZAS DE CUPEY
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-3248
Mailing Address - Country:US
Mailing Address - Phone:787-667-7185
Mailing Address - Fax:
Practice Address - Street 1:14 CALLE PADILLA EL CARIBE
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-3330
Practice Address - Country:US
Practice Address - Phone:787-667-7185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR398152WP0200X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Not Answered152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Not Answered152W00000XEye and Vision Services ProvidersOptometrist