Provider Demographics
NPI:1902099187
Name:TALENTO, ROMUALDO VELEZ II (MD, MPH)
Entity Type:Individual
Prefix:
First Name:ROMUALDO
Middle Name:VELEZ
Last Name:TALENTO
Suffix:II
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2693 FOREST HILLS RD SW STE B
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8611
Mailing Address - Country:US
Mailing Address - Phone:252-234-2841
Mailing Address - Fax:
Practice Address - Street 1:2693 FOREST HILLS RD SW STE B
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8611
Practice Address - Country:US
Practice Address - Phone:252-234-2841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00641207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC158U8OtherBCBS NC
NC1902099187Medicaid
NCNCE064AMedicare PIN
NC1902099187Medicaid