MEDICARE: ESTEFANIA ROMERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SI 2894	FL
2	235Z00000X	Speech-Language Pathologist	SZ8904	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467803841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEFANIA ROMERA

Provider Business Mailing Address
First Line	:	6750 E CHENANGO AVE APT 693
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3186
Country	:	US
Telephone Number	:	786-536-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	6750 E CHENANGO AVE APT 693
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3186
Country	:	US
Telephone Number	:	786-536-0040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	06/17/2020

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Directions to “ ESTEFANIA ROMERA ” Practice Location

Language	Start Address	Practice Location

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