Provider Demographics
NPI:1790827020
Name:NAVARRO, ROERME (DO)
Entity Type:Individual
Prefix:
First Name:ROERME
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1034
Mailing Address - Country:US
Mailing Address - Phone:305-545-8432
Mailing Address - Fax:305-545-8586
Practice Address - Street 1:1100 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1034
Practice Address - Country:US
Practice Address - Phone:305-545-8432
Practice Address - Fax:305-545-8586
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician