Provider Demographics
NPI:1932110947
Name:ROMERO, MARIA ANGELINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANGELINA
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 1:1 CALLE SHUFFORD
Mailing Address - Street 2:SUITE 109 PMB 129
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-6104
Mailing Address - Country:US
Mailing Address - Phone:786-897-5799
Mailing Address - Fax:
Practice Address - Street 1:40 COND CAGUAS TOWER APT 1202
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5635
Practice Address - Country:US
Practice Address - Phone:786-897-5799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23108208D00000X
FL2009872363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFS85920Medicare UPIN