Provider Demographics
NPI:1093037079
Name:ROMAY, BIBIANA MARITZA (ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BIBIANA
Middle Name:MARITZA
Last Name:ROMAY
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 SW 73RD ST
Mailing Address - Street 2:CARDIAC ADMINISTRATION
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4679
Mailing Address - Country:US
Mailing Address - Phone:786-662-5050
Mailing Address - Fax:
Practice Address - Street 1:6200 SW 73RD ST
Practice Address - Street 2:CARDIAC ADMINISTRATION
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4679
Practice Address - Country:US
Practice Address - Phone:786-662-5050
Practice Address - Fax:786-662-5290
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9193752163W00000X
FLARNP 9193752363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 9193752OtherSTATE OF FLORIDA, DEPT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE