Healthcare Provider Details

I. General information

NPI: 1740433127
Provider Name (Legal Business Name): DONALD GEORGE ROMERO MED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 KAPIOLANI ST
HILO HI
96720-3937
US

IV. Provider business mailing address

440 KAPIOLANI ST
HILO HI
96720-3937
US

V. Phone/Fax

Practice location:
  • Phone: 808-961-6635
  • Fax: 808-961-6925
Mailing address:
  • Phone: 808-961-6635
  • Fax: 808-961-6925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: