Healthcare Provider Details

I. General information

NPI: 1023465119
Provider Name (Legal Business Name): MARIA ROSA ROMERO A.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

742 10TH ST 109
MIAMI BEACH FL
33139-8411
US

IV. Provider business mailing address

744 10TH ST 110
MIAMI BEACH FL
33139-8412
US

V. Phone/Fax

Practice location:
  • Phone: 305-308-6204
  • Fax:
Mailing address:
  • Phone: 305-308-6204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2003
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: