Individual provider Active NPI

Romilio Faustino Marques, MD

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1417004045
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME75670 Issued in FL
Practice address
4330 Tamiami TRL E
Suite # 200
Naples, FL 34112-6756
Phone
(239) 774-5437
Fax
(239) 793-1918
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME75670 FL Primary

Addresses

Primary practice location

4330 Tamiami TRL E
Suite # 200
Naples, FL 34112-6756

Mailing address

4330 Tamiami TRL E
Suite # 200
Naples, FL 34112-6756
Phone (239) 774-5437

Other identifiers 1

IdentifierTypeStateIssuer
254177700MedicaidFL

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME75670FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aladesawe Enterprises Inc. Current Accepting new patients
Romilio Marques MD PA Pediatrics PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1417004045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 TAMIAMI TRL E",
            "address_2": "SUITE # 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126756",
            "telephone_number": "239-774-5437",
            "fax_number": "239-793-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 TAMIAMI TRL E",
            "address_2": "SUITE # 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126756",
            "telephone_number": "239-774-5437",
            "fax_number": "239-793-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "ROMILIO",
        "middle_name": "FAUSTINO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME75670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254177700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.