MEDICARE: ANTONIO ROMERO M.A.

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	172	PR
2	103T00000X	Psychologist	796	PR

General Provider Information

NPI Number	:	1215153960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO ROMERO M.A.

Provider Business Mailing Address
First Line	:	G39 CALLE 6
Second Line	:	TINTILLO GARDENS
City	:	GUAYNABO
State	:	PR
Zip	:	00966-1629
Country	:	US
Telephone Number	:	787-781-5477
Fax Number	:	787-721-4961

Provider Business Practice Location Address
First Line	:	403 CALLE DEL PARQUE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00912-3709
Country	:	US
Telephone Number	:	787-721-4960
Fax Number	:	787-721-4961

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/11/2025

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