Healthcare Provider Details

I. General information

NPI: 1124565205
Provider Name (Legal Business Name): GLANEYMI ROMERO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 04/30/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C15 CALLE A SUR SUITE 2 URBANIZACION FLAMBOYAN
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 672
MANATI PR
00674-0672
US

V. Phone/Fax

Practice location:
  • Phone: 787-940-3111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5726
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: