MEDICARE: ROBERTO FERNANDEZ-ROMERO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	0109542079	VA

General Provider Information

NPI Number	:	1194839639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO FERNANDEZ-ROMERO M.D.

Provider Business Mailing Address
First Line	:	1932 ALCOA HWY STE C150
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1532
Country	:	US
Telephone Number	:	865-305-7218
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 ALCOA HWY STE C150
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1532
Country	:	US
Telephone Number	:	865-305-7218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	06/11/2025

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