Provider Demographics
NPI:1023383676
Name:ROMERO REHABILITATION PHYSICAL
Entity Type:Organization
Organization Name:ROMERO REHABILITATION PHYSICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P
Authorized Official - Prefix:
Authorized Official - First Name:ALBANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-345-6534
Mailing Address - Street 1:42 NW 27TH AVE
Mailing Address - Street 2:SUITE 423
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5136
Mailing Address - Country:US
Mailing Address - Phone:786-345-6534
Mailing Address - Fax:
Practice Address - Street 1:42 NW 27TH AVE
Practice Address - Street 2:SUITE 423
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5136
Practice Address - Country:US
Practice Address - Phone:786-345-6534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9848261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service