Provider Demographics
NPI:1689927220
Name:ROMERO, CARLOS ANGEL (PA- PHYSICIAN ASSIST)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:ANGEL
Last Name:ROMERO
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Gender:M
Credentials:PA- PHYSICIAN ASSIST
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Mailing Address - Street 1:8700 N KENDALL DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2206
Mailing Address - Country:US
Mailing Address - Phone:305-595-5350
Mailing Address - Fax:305-595-3445
Practice Address - Street 1:8700 N KENDALL DR
Practice Address - Street 2:SUITE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2206
Practice Address - Country:US
Practice Address - Phone:305-595-5350
Practice Address - Fax:305-595-3445
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9106927363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant