Individual
RUTH YOLANDA ROMERO VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, BOSTON, MA 02124-5615
(617) 296-4000
Mailing address
9 HUGUENIN AVE APT 306, CHARLESTON, SC 29403-7039
(929) 257-9453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
86500
SC
282N00000X
General Acute Care Hospital
Primary
268008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704492065
MEDICARE
—
Enumeration date
07/19/2016
Last updated
11/15/2021
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