Healthcare Provider Details

I. General information

NPI: 1356400428
Provider Name (Legal Business Name): ALEXIS ROMERO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E 49TH ST
HIALEAH FL
33013-1846
US

IV. Provider business mailing address

16075 NW 64TH AVE
HIALEAH FL
33014-7510
US

V. Phone/Fax

Practice location:
  • Phone: 305-822-7246
  • Fax:
Mailing address:
  • Phone: 305-821-6013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: