Organization Active NPI

Enrique Romeu D.M.D., P.a.

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1558570903
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN 9709 Issued in FL
Legal business name
ENRIQUE ROMEU D.M.D., P.A.
Practice address
12276 San Jose Blvd
Suite 604
Jacksonville, FL 32223-8628
Phone
(904) 262-9464
Fax
(904) 262-9414
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Enrique Romeu, D.M.D.NPI 1346459807
Title
President-Ceo
Phone
(904) 262-9464

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
Dental Clinic/Center 261QD0000X DN 9709 FL Primary

Addresses

Primary practice location

12276 San Jose Blvd
Suite 604
Jacksonville, FL 32223-8628

Mailing address

12276 San Jose Blvd
Suite 604
Jacksonville, FL 32223-8628
Phone (904) 262-9464

National Provider Directory

National Provider Directory

Locations

12276 San Jose Blvd
Ste 604
Jacksonville, FL 32223
Phone (904) 262-9464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1558570903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 604",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-262-9464",
            "fax_number": "904-262-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 604",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-262-9464",
            "fax_number": "904-262-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE ROMEU D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ROMEU",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "904-262-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN 9709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.