Rosa Romero
Individual provider Active NPI Dentist · San Elizarion, TX
NPI 1245202118 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1245202118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 19098 (TX)
- Practice address
- 1313 San Antonio
San Elizarion, TX 79849 - Phone
- (915) 851-5519
- Fax
- (915) 533-4878
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230811000242 | TX | Practitioner - Dentist | 5991098295 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19098 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud Familiar la Fe, Inc. | Current |
Accepting new patients | |
| Centro de Salud Familiar la Fe, Inc | Dentist | Current |
Accepting new patients |
| Centro de Salud Familiar la Fe, Inc. | Past | Accepting new patients |
Locations
1314 E Yandell Dr
El Paso, TX 79902
608 S Saint Vrain St
El Paso, TX 79901
700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550
12101 Socorro Rd
San Elizario, TX 79849
Phone (915) 851-5519
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19098 | TX | Yes |
Addresses
Primary practice location
1313 San Antonio
San Elizarion, TX 79849
Mailing address
608 S Saint Vrain
El Paso, TX 79901
Phone (915) 534-7979
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.