MEDICARE: PATRICK ROMEUS MD

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	207R00000X	Internal Medicine Physician	ME101559	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	:	1669464335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK ROMEUS MD

Provider Business Mailing Address
First Line	:	PO BOX 370607
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-0607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16400 NW 2ND AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33169-6035
Country	:	US
Telephone Number	:	305-548-8530
Fax Number	:	305-735-7529

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	12/21/2015

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