Provider Demographics
NPI:1043836638
Name:ROMERO, MIGUEL H (MD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:H
Last Name:ROMERO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9525 E OLD SPANISH TRL STE 101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-6630
Mailing Address - Country:US
Mailing Address - Phone:520-731-3666
Mailing Address - Fax:520-721-9798
Practice Address - Street 1:9525 E OLD SPANISH TRL STE 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-6630
Practice Address - Country:US
Practice Address - Phone:520-731-3666
Practice Address - Fax:520-721-9798
Is Sole Proprietor?:No
Enumeration Date:2020-06-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ71572207Q00000X
FLME152435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine