Provider Demographics
NPI:1154383990
Name:ROMERO, ANA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:MARIA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-2092
Mailing Address - Fax:904-376-4075
Practice Address - Street 1:1310 COUNTY ROAD 210 W
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-4083
Practice Address - Country:US
Practice Address - Phone:904-824-4407
Practice Address - Fax:904-390-7459
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME96581207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01126337OtherRAILROAD MEDICARE
FLAB295YMedicare PIN
FLP01126337OtherRAILROAD MEDICARE