Sara Romero

Individual provider Active NPI Counselor · Portales, NM

NPI 1104182278 · NPPES record last updated Apr 3, 2012

Key facts

NPI
1104182278
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1111 W Fir St
Portales, NM 88130-5826
Phone
(575) 356-5112
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1111 W Fir St
Portales, NM 88130-5826

Mailing address

PO Box 28220
Santa Fe, NM 87592-8220

Other providers in Portales, NM

All providers in Portales, NM · Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.