Provider Demographics
NPI:1184413494
Name:ROCUBERT ROMERO, FELIPE
Entity type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:ROCUBERT ROMERO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13315 SW 58TH TER APT 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1253
Mailing Address - Country:US
Mailing Address - Phone:305-310-1788
Mailing Address - Fax:
Practice Address - Street 1:13315 SW 58TH TER APT 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1253
Practice Address - Country:US
Practice Address - Phone:305-310-1788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-5429-944622106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician