Provider Demographics
NPI:1205095734
Name:ROMERO, ANA RODY (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:ANA
Middle Name:RODY
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 NW 25 STR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-4416
Mailing Address - Country:US
Mailing Address - Phone:786-797-0093
Mailing Address - Fax:
Practice Address - Street 1:16101 NE 11 CT
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4503
Practice Address - Country:US
Practice Address - Phone:305-940-3506
Practice Address - Fax:305-677-2213
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 10876225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist