Healthcare Provider Details

I. General information

NPI: 1275468928
Provider Name (Legal Business Name): ESMERALDA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 BERGEN AVE
BRONX NY
10455-4010
US

IV. Provider business mailing address

521 BERGEN AVE
BRONX NY
10455-4010
US

V. Phone/Fax

Practice location:
  • Phone: 718-742-8550
  • Fax: 718-742-7321
Mailing address:
  • Phone: 718-742-8550
  • Fax: 718-742-7321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: