Active NPI
Michael Lee Romero, RPA
- Radiology Practitioner Assistant
- Taos, NM
National Provider Identifier
1952732000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 09NM1012
- Practice address
- 1397 Weimer Rd
Taos, NM 87571-6253 - Phone
- (575) 751-5872
- NPI assigned
- Nov 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 09NM1012 | UT | Primary |
| Radiologic Technologist | 247100000X | 161279 | NM |
Addresses
Primary practice location
1397 Weimer Rd
Taos, NM 87571-6253
Mailing address
PO Box 1861
818 Hill Drive
Ranchos de Taos, NM 87557-1861
Phone (830) 469-6009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09NM1012 | UT | MD | Radiology Practitioner Assistant |
| 161279 | NM | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1952732000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1861",
"address_2": "818 HILL DRIVE",
"city": "RANCHOS DE TAOS",
"state": "NM",
"postal_code": "875571861",
"telephone_number": "830-469-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716253",
"telephone_number": "575-751-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "UT",
"license": "09NM1012",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NM",
"license": "161279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.