MEDICARE: SONIA ROMERO

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	101Y00000X	Counselor	MH8024	FL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH8024	FL
3	101YM0800X	Mental Health Counselor	MH8024	FL
4	101YP2500X	Professional Counselor	MH8024	FL

General Provider Information

NPI Number	:	1548672314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA ROMERO

Provider Business Mailing Address
First Line	:	2131 NE 55TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3111
Country	:	US
Telephone Number	:	954-958-3592
Fax Number	:

Provider Business Practice Location Address
First Line	:	2131 NE 55TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3111
Country	:	US
Telephone Number	:	954-958-3592
Fax Number	:

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

Provider Enumeration Date	:	05/28/2014
Last Update Date	:	05/28/2014

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Directions to “ SONIA ROMERO ” Practice Location

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