Marel Romero

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

9015 Murray Ave Ste 100
Gilroy, CA 95020-3675

Phone

(408) 842-7138

NPI assigned

Mar 25, 2019

Reactivated

Mar 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1366903239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 MURRAY AVE STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203675",
            "telephone_number": "408-842-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 MURRAY AVE STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203675",
            "telephone_number": "408-842-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9360 no name uno #130",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "95020",
            "country_code": "US",
            "telephone_number": "408-843-9350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Ioof Ave",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950205204",
            "country_code": "US",
            "telephone_number": "408-846-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4030 Moorpark Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951171848",
            "country_code": "US",
            "telephone_number": "669-444-5980",
            "fax_number": "855-568-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MAREL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-08-28",
        "certification_date": "2021-11-01",
        "deactivation_date": "2020-03-08",
        "reactivation_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres Rojas
• Esmeralda Rojas
• Consuelo Crystal Roman
• Gerardo Roman
• Robyn Romanucci, M.S., LMFT
• Rosalva Romero
• Briana Romine, LMFT
• Liliana Romine, DH
• Andrea Cymonae Ronell, LMFT
• Maria Gissell Roque

• Student in an Organized Health Care Education/Training Program in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.