Provider Demographics
NPI:1740537141
Name:ALONSO-ROMERO, OSMUNDO (LMT)
Entity type:Individual
Prefix:MR
First Name:OSMUNDO
Middle Name:
Last Name:ALONSO-ROMERO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19701 SW 110TH CT APT 723
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8472
Mailing Address - Country:US
Mailing Address - Phone:786-319-2142
Mailing Address - Fax:
Practice Address - Street 1:19701 SW 110TH CT APT 723
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8472
Practice Address - Country:US
Practice Address - Phone:786-319-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 68801225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist