Healthcare Provider Details

I. General information

NPI: 1467803841
Provider Name (Legal Business Name): ESTEFANIA ROMERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 E CHENANGO AVE APT 693
DENVER CO
80237-3186
US

IV. Provider business mailing address

6750 E CHENANGO AVE APT 693
DENVER CO
80237-3186
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-0040
  • Fax:
Mailing address:
  • Phone: 786-536-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI 2894
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ8904
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: