Individual
ROMEO S. AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 S FLOYD ST STE 500, LOUISVILLE, KY 40202-1837
(502) 629-1515
(502) 629-1545
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41426
KY
207V00000X
Obstetrics & Gynecology Physician
01064174A
IN
207V00000X
Obstetrics & Gynecology Physician
41426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000023028Q
HUMANA
—
01
—
0101238280
LICENSE
VA
01
—
089399
SIHO
—
01
—
196290YYY
MEDICARE - CMA
IN
05
—
200894800
—
IN
01
—
2858785000
PASSPORT ADVNTG
LA
01
—
3873422
CIGNA
KY
01
—
50015846
PASSPORT (OB/GYN)
KY
01
—
50016558
PASSPORT - PCP
KY
01
—
530495
ANTHEM
KY
05
—
7100005690
—
KY
Enumeration date
04/04/2007
Last updated
03/02/2026
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