Provider Demographics
NPI:1184011389
Name:A ROMERO ENTERPRISES L.L.C.
Entity type:Organization
Organization Name:A ROMERO ENTERPRISES L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROMERO-TERNES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:575-791-7714
Mailing Address - Street 1:2000 W 21ST ST
Mailing Address - Street 2:SUITE E3
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-4087
Mailing Address - Country:US
Mailing Address - Phone:575-769-2533
Mailing Address - Fax:
Practice Address - Street 1:2000 W 21ST ST
Practice Address - Street 2:SUITE E3
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-4087
Practice Address - Country:US
Practice Address - Phone:575-769-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR44288261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care