Provider Demographics
NPI:1073225488
Name:ROMERO ALVAREZ, REINEL N/A (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:REINEL
Middle Name:N/A
Last Name:ROMERO ALVAREZ
Suffix:
Gender:M
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3432 WEST 111TH PLACE
Mailing Address - Street 2:N/A
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018
Mailing Address - Country:US
Mailing Address - Phone:786-542-3782
Mailing Address - Fax:
Practice Address - Street 1:3432 WEST 111TH PLACE
Practice Address - Street 2:N/A
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018
Practice Address - Country:US
Practice Address - Phone:786-542-3782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023378363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily