MEDICARE: MS. ROMENA MARRERO APRN

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	104100000X	Social Worker
2	363LF0000X	Family Nurse Practitioner	11004308	FL

General Provider Information

NPI Number	:	1730413329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROMENA MARRERO APRN

Provider Business Mailing Address
First Line	:	8420 W FLAGLER ST STE 120
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2045
Country	:	US
Telephone Number	:	305-552-0109
Fax Number	:	866-285-7068

Provider Business Practice Location Address
First Line	:	8420 W FLAGLER ST STE 120
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2045
Country	:	US
Telephone Number	:	305-552-0109
Fax Number	:	866-285-7068

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

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	03/07/2025

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