MEDICARE: DR. CYNTHIA C. ROMERO MD

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	207Q00000X	Family Medicine Physician	0101051966	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1376659300	OTHER		NPI

General Provider Information

NPI Number	:	1376659300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA C. ROMERO MD

Provider Business Mailing Address
First Line	:	860 OMNI BLVD
Second Line	:	SUITE 303
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4434
Country	:	US
Telephone Number	:	757-232-8769
Fax Number	:	757-232-8875

Provider Business Practice Location Address
First Line	:	6009 PROVIDENCE RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3808
Country	:	US
Telephone Number	:	757-420-9251
Fax Number	:	757-424-5217

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2014

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