Healthcare Provider Details

I. General information

NPI: 1649110479
Provider Name (Legal Business Name): MARIA JOSEFA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W 49TH ST
HIALEAH FL
33012-2942
US

IV. Provider business mailing address

1840 W 49TH ST
HIALEAH FL
33012-2942
US

V. Phone/Fax

Practice location:
  • Phone: 305-828-0201
  • Fax:
Mailing address:
  • Phone: 305-828-0201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: