Healthcare Provider Details

I. General information

NPI: 1710269360
Provider Name (Legal Business Name): ROMEU PATHOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 SW 1ST ST SUITE 320
MIAMI FL
33135-2321
US

IV. Provider business mailing address

1393 SW 1ST ST SUITE 320
MIAMI FL
33135-2321
US

V. Phone/Fax

Practice location:
  • Phone: 305-644-0977
  • Fax:
Mailing address:
  • Phone: 305-644-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME64804
License Number StateFL

VIII. Authorized Official

Name: HUGO ROMEU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-644-0977