Healthcare Provider Details

I. General information

NPI: 1245620731
Provider Name (Legal Business Name): JULIO CESAR ROMERO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10989 SW 40TH ST
MIAMI FL
33165-4412
US

IV. Provider business mailing address

10989 SW 40TH ST
MIAMI FL
33165-4412
US

V. Phone/Fax

Practice location:
  • Phone: 786-542-9937
  • Fax: 786-542-9954
Mailing address:
  • Phone: 786-542-9937
  • Fax: 786-542-9954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME160343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: