Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 13165 | AZ |
Y | 213ES0000X | Sports Medicine | 13165 | AZ |
NPI | 1346764768 |
---|---|
Provider Name | Dr. Cruz Romero |
First Address | Phoenix, AZ 85050-4605 |
Second Address | Phoenix, AZ 85050-4605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2017 |
Last Update Date | 27/07/2017 |