Provider Demographics
NPI:1154664605
Name:RODRIGO ROMANO, D.D.S., P.A.
Entity Type:Organization
Organization Name:RODRIGO ROMANO, D.D.S., P.A.
Other - Org Name:ROMANOPERIO & ASSOCIATES, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:305-403-3682
Mailing Address - Street 1:7701 SW 62ND AVE
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4921
Mailing Address - Country:US
Mailing Address - Phone:305-403-3682
Mailing Address - Fax:305-403-4222
Practice Address - Street 1:7701 SW 62ND AVE
Practice Address - Street 2:SUITE A-1
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4921
Practice Address - Country:US
Practice Address - Phone:305-403-3682
Practice Address - Fax:305-403-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty