Healthcare Provider Details

I. General information

NPI: 1396104477
Provider Name (Legal Business Name): SHERLIE ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO COMERCIAL LOCAL 1 CATALANA # 66 BARCELONETA PR 00617
BARCELONETA PR
00617
UM

IV. Provider business mailing address

HC 4 BOX 17351
CAMUY PR
00627-7616
US

V. Phone/Fax

Practice location:
  • Phone: 787-915-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number006007
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: