Basic Information
Provider Information
NPI: 1003017542
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROMERO
FirstName: LORNA
MiddleName: M
NamePrefix: MRS.
NameSuffix:  
Credential: BSNRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 136 CALLE MARINA
Address2:  
City: ISABELA
State: PR
PostalCode: 006622548
CountryCode: US
TelephoneNumber: 7878302707
FaxNumber: 7878300465
Practice Location
Address1: 136 CALLE MARINA
Address2:  
City: ISABELA
State: PR
PostalCode: 006622548
CountryCode: US
TelephoneNumber: 7878302707
FaxNumber: 7878300465
Other Information
ProviderEnumerationDate: 05/31/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X26943PRY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home