Romero Family Medicine,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

03195795001 Issued in NM

Legal business name

ROMERO FAMILY MEDICINE,LLC

Practice address

4600 Jefferson LN NE
Suite a
Albuquerque, NM 87109-2134

Phone

(505) 924-1895

Fax

(505) 792-1890

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Angela Liza Romero, M.D.

Title

Physician

Phone

(505) 924-1895

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1902112956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 JEFFERSON LN NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092134",
            "telephone_number": "505-881-1229",
            "fax_number": "055-888-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JEFFERSON LN NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092134",
            "telephone_number": "505-924-1895",
            "fax_number": "505-792-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMERO FAMILY MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LIZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-924-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "03195795001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33577889",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayme L. Romanik, M.D.
• Ronald Lee Romanik, M.D.
• Laura Lynn Rombach, LPCC
• Camille Romero Brown, M.S. SLP-CCC
• Veronica Romero de Chavez, LISW
• Teresa Romero Garcia, LMSW
• Perla Maria Romero Gomez, MD
• Ana Marie Romero Jurisson, DPT
• Dawnelle Romero-Baca, DNP, PMHNP-BC
• Carol A Romero-Clark, M.S., CCC-SLP

• Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.