Provider Demographics
NPI:1003199431
Name:ROMERO, HECTOR (RPH)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:ROMERO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 E OSCEOLA PKWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-8602
Mailing Address - Country:US
Mailing Address - Phone:407-348-2323
Mailing Address - Fax:407-348-8799
Practice Address - Street 1:2050 E OSCEOLA PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-8602
Practice Address - Country:US
Practice Address - Phone:407-348-2323
Practice Address - Fax:407-348-8799
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist