Provider Demographics
NPI:1225675945
Name:ROMERO PABON, ARDEL JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:ARDEL
Middle Name:JOSE
Last Name:ROMERO PABON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARDEL
Other - Middle Name:JOSE
Other - Last Name:ROMERO PABON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:231 ALBERT SABIN WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0542
Mailing Address - Country:US
Mailing Address - Phone:513-558-3043
Mailing Address - Fax:513-558-2884
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2364
Practice Address - Country:US
Practice Address - Phone:513-558-3043
Practice Address - Fax:513-558-2884
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.153250207RC0000X
PAMD480396390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease