Individual provider Active NPI

Carlos Angel Romero, PA

  • Physician Assistant
  • Oviedo, FL
National Provider Identifier
1689927220
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106927 Issued in FL
Practice address
8000 Red Bug Lake Rd Ste 200
Oviedo, FL 32765-9265
Phone
(407) 366-6004
Fax
(407) 366-6919
NPI assigned
Oct 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106927 FL Primary

Addresses

Primary practice location

8000 Red Bug Lake Rd Ste 200
Oviedo, FL 32765-9265

Mailing address

5564 E Grant St
Orlando, FL 32822-1666
Phone (321) 235-6230

Other practice location 1

5564 E Grant St
Orlando, FL 32822-1666
Phone (321) 235-6230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910004253 FL Practitioner - Physician Assistant 6204244700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

8315 Red Bug Lake Rd
Oviedo, FL 32765-6860
Phone (407) 599-6193

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106927FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Centers of Central Florida, LLC CurrentSince Aug 1, 2024 Accepting new patients
Caremax Medical Centers of Central Florida LLC CurrentSince Aug 1, 2024 Accepting new patients
Interamerican Medical Center Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Associated Medical Managers, Inc. PastSince Aug 7, 2011 Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

5564 E Grant St
Orlando, FL 32822
Phone (321) 235-6230

Interoperability endpoints

  • Direct secure messaging: carlos.romero.p1@direct.caremax.nextgenshare.com
  • Direct secure messaging: cromero4489161@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1689927220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 E GRANT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221666",
            "telephone_number": "321-235-6230",
            "fax_number": "321-235-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RED BUG LAKE RD STE 200",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659265",
            "telephone_number": "407-366-6004",
            "fax_number": "407-366-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5564 E Grant St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221666",
            "country_code": "US",
            "telephone_number": "321-235-6230",
            "fax_number": "321-235-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "CARLOS",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.