Individual
EVA CELESTE ROMERO NUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PHSU, 388 ZONA INDUSTRIAL REPARADA 2, PONCE, PR 00716
(787) 840-2575
Mailing address
PHSU PO BOX 7004, PONCE, PR 00732-7004
(787) 238-2499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1017909
MA
208D00000X
General Practice Physician
35916R
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110211300A
MASSHEALTH
MA
Enumeration date
05/06/2019
Last updated
01/16/2025
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