| Romero Family Medicine,llc | |
|
4600 Jefferson Ln Ne Suite A Albuquerque NM 87109-2134 | |
| (505) 924-1895 | |
| (505) 792-1890 |
| Full Name | Romero Family Medicine,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4600 Jefferson Ln Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Angela Liza Romero (PHYSICIAN) |
| Authorized Official Contact | 5059241895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Romero Family Medicine,llc 4600 Jefferson Ln Ne Ste A Albuquerque NM 87109-2134 Ph: (505) 881-1229 | Romero Family Medicine,llc 4600 Jefferson Ln Ne Suite A Albuquerque NM 87109-2134 Ph: (505) 924-1895 |
| NPI Number | 1902112956 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 01/10/2019 |
| Medicare PECOS PAC ID | 0244414423 |
|---|---|
| Medicare Enrollment ID | O20110413000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902112956 | NPI | - | NPPES |
| 33577889 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 03195795001 (New Mexico) | Primary |
| Provider Name | Melvin L Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164405064 PECOS PAC ID: 8123005154 Enrollment ID: I20040707000616 |
| Provider Name | Angela L Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699757187 PECOS PAC ID: 4385699859 Enrollment ID: I20050428001288 |
| Provider Name | Debra Rockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477125797 PECOS PAC ID: 6608129739 Enrollment ID: I20210923000523 |
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