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NPI Code Detail

MEDICARE: MICHAEL H ROMAGUERA

MEDICARE: MICHAEL H ROMAGUERA
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
1207Q00000XFamily Medicine Physician017750LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3930114662OTHERLARRM LAKE AFTER HOURS

General Provider Information

NPI Number : 1699964692
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL H ROMAGUERA
Provider Business Mailing Address
First Line : 11055 SHOE CREEK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70818-4022
Country : US
Telephone Number : 225-261-4493
Fax Number : 225-261-8416
Provider Business Practice Location Address
First Line : 11055 SHOE CREEK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70818-4022
Country : US
Telephone Number : 225-261-4493
Fax Number : 225-261-8416
Authorized Official
Title or Position : INSURANCE COORDINATOR
Name : MISS CRISTEN CLAIRE BEAUREGARD
Credential :
Telephone Number : 225-261-4493
Provider Enumeration Date : 10/16/2007
Last Update Date : 08/06/2008

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