Healthcare Provider Details

I. General information

NPI: 1154445914
Provider Name (Legal Business Name): DONALD ALEXANDER ROMIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 COPITA LANE
SANTA FE NM
87505
US

IV. Provider business mailing address

709 COPITA LANE
SANTA FE NM
87505
US

V. Phone/Fax

Practice location:
  • Phone: 505-988-5455
  • Fax:
Mailing address:
  • Phone: 505-988-5455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number64-48
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: