MEDICARE: DR. PAOLO 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	208D00000X	General Practice Physician	38140	CO
2	207RX0202X	Medical Oncology Physician	38140	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00970420	OTHER	CO	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962409235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAOLO ROMERO MD

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE
Second Line	:	SUITE 150
City	:	LOVELAND
State	:	CO
Zip	:	80538-8702
Country	:	US
Telephone Number	:	970-624-4420
Fax Number	:	970-624-4459

Provider Business Practice Location Address
First Line	:	2121 E HARMONY RD
Second Line	:	UNIT 150
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3413
Country	:	US
Telephone Number	:	970-493-6337
Fax Number	:	970-493-3528

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	04/04/2013

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Directions to “ DR. PAOLO ROMERO MD” Practice Location

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