Healthcare Provider Details

I. General information

NPI: 1275507790
Provider Name (Legal Business Name): VALERIE L ROMERO-LEGGOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 06/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 ARENAL SW
ALB NM
87105
US

IV. Provider business mailing address

2001 NORTH CENTRO FAMILIAR SW
ALB NM
87105
US

V. Phone/Fax

Practice location:
  • Phone: 505-873-7400
  • Fax:
Mailing address:
  • Phone: 505-873-7462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number94-376
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: