Healthcare Provider Details

I. General information

NPI: 1477413920
Provider Name (Legal Business Name): ARMANDO MARTIN ROMERO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 PEPPOLI LOOP SE
RIO RANCHO NM
87124-8776
US

IV. Provider business mailing address

1508 PEPPOLI LOOP SE
RIO RANCHO NM
87124-8776
US

V. Phone/Fax

Practice location:
  • Phone: 505-463-7847
  • Fax:
Mailing address:
  • Phone: 505-463-7847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR55647
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number88732
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: