Provider Demographics
NPI:1225090921
Name:MAJANO, ROMEO A (MD)
Entity Type:Individual
Prefix:
First Name:ROMEO
Middle Name:A
Last Name:MAJANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 SW 62ND PL
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4825
Mailing Address - Country:US
Mailing Address - Phone:305-663-1001
Mailing Address - Fax:305-663-1007
Practice Address - Street 1:7330 SW 62ND PL
Practice Address - Street 2:SUITE 310
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4825
Practice Address - Country:US
Practice Address - Phone:305-663-1001
Practice Address - Fax:305-663-1007
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76588207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL78748ZMedicare ID - Type Unspecified
FLH86397Medicare UPIN