Provider Demographics
NPI:1467786392
Name:ROMERO, DIEGO (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:
Last Name:ROMERO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 S RED RD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5428
Mailing Address - Country:US
Mailing Address - Phone:305-740-4586
Mailing Address - Fax:305-740-4587
Practice Address - Street 1:7600 S RED RD
Practice Address - Street 2:SUITE 228
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-740-4586
Practice Address - Fax:305-740-4587
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN209341223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics