Provider Demographics
NPI:1609895978
Name:ROMEU, RAFAEL E (DPM)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:E
Last Name:ROMEU
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1605 AVE PONCE DE LEON
Mailing Address - Street 2:COND SAN MARTIN STE 511
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-1822
Mailing Address - Country:US
Mailing Address - Phone:787-723-1580
Mailing Address - Fax:787-724-0304
Practice Address - Street 1:1605 AVE PONCE DE LEON STE 511
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1822
Practice Address - Country:US
Practice Address - Phone:787-723-1580
Practice Address - Fax:787-724-0304
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR#0025213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR48018Medicare PIN
PRT26837Medicare UPIN