Healthcare Provider Details

I. General information

NPI: 1801032107
Provider Name (Legal Business Name): UIVERSITY OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1121 NW 14TH ST SUITE # 103
MIAMI FL
33136-2106
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6837
  • Fax: 305-243-8470
Mailing address:
  • Phone: 305-243-6837
  • Fax: 305-243-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SC0300X
TaxonomyClinical Cytogenetics Physician
License Number
License Number State

VIII. Authorized Official

Name: GEMMA ROMILLO
Title or Position: DIRECTOR OF BILLING COMPLIANCE
Credential:
Phone: 305-243-6837