Organization Active NPI

G a Romaguera MD LLC

  • Family Medicine Physician
  • Gretna, LA
National Provider Identifier
1336324573
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017334 Issued in LA
Legal business name
G A ROMAGUERA MD LLC
Practice address
316 Lafayette St.
Gretna, LA 70053
Phone
(504) 391-0077
Fax
(504) 394-6827
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gerard A Romaguera, M.D.NPI 1770691826
Title
Doctor
Phone
(504) 391-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 017334 LA Primary

Addresses

Primary practice location

316 Lafayette St.
Gretna, LA 70053

Mailing address

316 Lafayette St.
Gretna, LA 70053
Phone (504) 391-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000610 LA Part B Supplier - Clinic/Group Practice 7618930124 Receives reassigned benefits from 1 practitioner
Practice locations: Gretna, LA

National Provider Directory

National Provider Directory

Locations

316 Lafayette St
Gretna, LA 70053
Phone (504) 391-0077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1336324573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LAFAYETTE ST.",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70053",
            "telephone_number": "504-391-0077",
            "fax_number": "504-394-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 LAFAYETTE ST.",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "70053",
            "telephone_number": "504-391-0077",
            "fax_number": "504-394-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G A ROMAGUERA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ROMAGUERA",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "504-391-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.