Provider Demographics
NPI:1386686079
Name:ROMERO MEDICAL, INC.
Entity Type:Organization
Organization Name:ROMERO MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-826-7104
Mailing Address - Street 1:3450 W 84TH ST
Mailing Address - Street 2:202L
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4924
Mailing Address - Country:US
Mailing Address - Phone:305-826-7104
Mailing Address - Fax:305-826-7105
Practice Address - Street 1:3450 W 84TH ST
Practice Address - Street 2:202L
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4924
Practice Address - Country:US
Practice Address - Phone:305-826-7104
Practice Address - Fax:305-826-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312936332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5667540001Medicare ID - Type UnspecifiedPROVIDER NUMBER