Healthcare Provider Details

I. General information

NPI: 1730413329
Provider Name (Legal Business Name): ROMENA MARRERO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2009
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 W FLAGLER ST STE 120
MIAMI FL
33144-2045
US

IV. Provider business mailing address

8420 W FLAGLER ST STE 120
MIAMI FL
33144-2045
US

V. Phone/Fax

Practice location:
  • Phone: 305-552-0109
  • Fax: 866-285-7068
Mailing address:
  • Phone: 305-552-0109
  • Fax: 866-285-7068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11004308
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: