Individual
MS. XOCHITL ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
711 BOND ST, ESPANOLA, NM 87532-2729
(505) 753-9503
(505) 747-1004
Mailing address
538 N PASEO DE ONATE, P.O. BOX 158, ESPANOLA, NM 87532-2618
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
82-PA001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91637
—
NM
Enumeration date
08/31/2005
Last updated
06/27/2013
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