Provider Demographics
NPI:1568964096
Name:ORUE ROMERO, BETTY L
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:L
Last Name:ORUE ROMERO
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 1:9405 W FLAGLER ST APT D204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2028
Mailing Address - Country:US
Mailing Address - Phone:305-299-0189
Mailing Address - Fax:
Practice Address - Street 1:9405 W FLAGLER ST APT D204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2028
Practice Address - Country:US
Practice Address - Phone:305-299-0189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician