Provider Demographics
NPI:1184450918
Name:CAMERO ALVAREZ, ROMMEL (RMA)
Entity type:Individual
Prefix:MR
First Name:ROMMEL
Middle Name:
Last Name:CAMERO ALVAREZ
Suffix:
Gender:M
Credentials:RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 E TUCSON MARKETPLACE BLVD # 415
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-0021
Mailing Address - Country:US
Mailing Address - Phone:520-277-9244
Mailing Address - Fax:
Practice Address - Street 1:4550 E LOS REALES RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-0118
Practice Address - Country:US
Practice Address - Phone:520-747-6344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC202203194224261QM1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health