Healthcare Provider Details

I. General information

NPI: 1720293830
Provider Name (Legal Business Name): PATRICIA ARES ROMERO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 PALMETTO FRONTAGE RD SUITE 300
MIAMI LAKES FL
33016-1569
US

IV. Provider business mailing address

14100 PALMETTO FRONTAGE RD SUITE 300
MIAMI LAKES FL
33016-1569
US

V. Phone/Fax

Practice location:
  • Phone: 305-557-3773
  • Fax: 305-557-3771
Mailing address:
  • Phone: 305-557-3773
  • Fax: 305-557-3771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberME84600
License Number StateFL

VIII. Authorized Official

Name: DR. PATRICIA ADRIANA ARES-ROMERO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-557-3773