Ileana Romero-Bolumen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0059735 Issued in FL

Practice address

1225 NW 40TH Ave Unit 2
Lauderhill, FL 33313-5801

Phone

(954) 615-0900

Fax

(954) 615-0901

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1417926841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NW 40TH AVE UNIT 2",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135801",
            "telephone_number": "954-615-0900",
            "fax_number": "954-615-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO-BOLUMEN",
        "first_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0059735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531162-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Rodriguez, DMD
• Lauren D Roero, PA-C
• Caryn Rollo
• Marlene Roman
• Genevieve Romelus
• Rose Hill Psychology PA
• Evan Rosen, D.C.
• Rosin Eyecare, P.a. (iSee Eyecare)
• Ross D. Nochimson, M.D.,P.a.
• Charles Louis Rouault, MD

• Pediatrics Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.