Healthcare Provider Details

I. General information

NPI: 1376857904
Provider Name (Legal Business Name): ADOLFO ROMERO MARTINEZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 10/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 HOMESTEAD RD N STE 102
LEHIGH ACRES FL
33936-6049
US

IV. Provider business mailing address

3910 SE 9TH CT
CAPE CORAL FL
33904-5213
US

V. Phone/Fax

Practice location:
  • Phone: 239-303-2700
  • Fax: 239-303-2756
Mailing address:
  • Phone: 786-356-2312
  • Fax: 239-303-2756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9356435
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP6356435
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: