Provider Demographics
NPI:1376857904
Name:ROMERO MARTINEZ, ADOLFO (ARNP)
Entity Type:Individual
Prefix:
First Name:ADOLFO
Middle Name:
Last Name:ROMERO MARTINEZ
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 SE 9TH CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-5213
Mailing Address - Country:US
Mailing Address - Phone:786-356-2312
Mailing Address - Fax:239-303-2756
Practice Address - Street 1:1303 HOMESTEAD RD N STE 102
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6049
Practice Address - Country:US
Practice Address - Phone:239-303-2700
Practice Address - Fax:239-303-2756
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9356435363LP2300X
FLARNP6356435363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily