MEDICARE: DR. CARLOS J ROMERO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	21405	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	21405	OTHER	TX	TEXAS BOARD OF DENTAL EXA

General Provider Information

NPI Number	:	1245265164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS J ROMERO DDS

Provider Business Mailing Address
First Line	:	2439 MONARCH DR UNIT 4
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6840
Country	:	US
Telephone Number	:	956-723-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	2439 MONARCH DR UNIT 4
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6840
Country	:	US
Telephone Number	:	956-723-1230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/09/2024

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