Healthcare Provider Details

I. General information

NPI: 1215165691
Provider Name (Legal Business Name): MINERVA ANGELICA ROMERO ARENAS MD, MPH, FACS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 6TH ST
BROOKLYN NY
11215-3609
US

IV. Provider business mailing address

1981 MARCUS AVE STE 208
NEW HYDE PARK NY
11042-1055
US

V. Phone/Fax

Practice location:
  • Phone: 718-780-5990
  • Fax: 718-780-3154
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP4700
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP24036
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number306601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: