Healthcare Provider Details

I. General information

NPI: 1609785559
Provider Name (Legal Business Name): LIBIA ROMERO APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 SW 107TH AVE APT 352W
MIAMI FL
33173-4387
US

IV. Provider business mailing address

8415 SW 107TH AVE APT 352W
MIAMI FL
33173-4387
US

V. Phone/Fax

Practice location:
  • Phone: 786-236-7539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11050754
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: