Provider Demographics
NPI:1548798549
Name:COUTO NUNEZ, ROMY
Entity Type:Individual
Prefix:
First Name:ROMY
Middle Name:
Last Name:COUTO NUNEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 SW 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2753
Mailing Address - Country:US
Mailing Address - Phone:786-473-6328
Mailing Address - Fax:
Practice Address - Street 1:2910 SW 76TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2753
Practice Address - Country:US
Practice Address - Phone:786-473-6328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician