MEDICARE: DR. DOUGLAS JAVIER 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	2084P0800X	Psychiatry Physician	13872	PR

General Provider Information

NPI Number	:	1609847490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS JAVIER ROMERO M.D.

Provider Business Mailing Address
First Line	:	131B AVE WINSTON CHURCHILL
Second Line	:	CROWN HILLS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6012
Country	:	US
Telephone Number	:	787-764-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	131B AVE WINSTON CHURCHILL
Second Line	:	CROWN HILLS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6012
Country	:	US
Telephone Number	:	787-764-5642
Fax Number	:

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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