Individual
MAURICIO ROMERO OLVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 W 8TH AVE STE 150E, SPOKANE, WA 99204-2302
(509) 252-1704
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
4301097904
MI
2080P0210X
Pediatric Nephrology Physician
Primary
MD61687228
WA
2080P0210X
Pediatric Nephrology Physician
S4378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408082201
—
TX
Enumeration date
07/27/2011
Last updated
07/30/2025
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