Healthcare Provider Details

I. General information

NPI: 1568158863
Provider Name (Legal Business Name): FRANCISCO JAVIER ROMO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1852 N MASTICK WAY
NOGALES AZ
85621-1063
US

IV. Provider business mailing address

825 N GRAND AVE SUITE 100
NOGALES AZ
85621
US

V. Phone/Fax

Practice location:
  • Phone: 520-281-1550
  • Fax: 520-281-4457
Mailing address:
  • Phone: 520-761-2128
  • Fax: 520-281-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number80522
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: