Provider Demographics
NPI:1477022424
Name:ROMERO, ALEXANDER STEPHAN
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:STEPHAN
Last Name:ROMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 SW 81ST AVE
Mailing Address - Street 2:SUITE 302N
Mailing Address - City:N. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068
Mailing Address - Country:US
Mailing Address - Phone:561-574-8185
Mailing Address - Fax:
Practice Address - Street 1:840 SW 81ST AVE
Practice Address - Street 2:SUITE 302N
Practice Address - City:N. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068
Practice Address - Country:US
Practice Address - Phone:561-574-8185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies