MEDICARE: ORLANDO ROMERO D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN17763	FL

General Provider Information

NPI Number	:	1376777318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO ROMERO D.M.D

Provider Business Mailing Address
First Line	:	18652 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2406
Country	:	US
Telephone Number	:	305-474-0400
Fax Number	:	305-474-0094

Provider Business Practice Location Address
First Line	:	18652 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2406
Country	:	US
Telephone Number	:	305-474-0400
Fax Number	:	305-474-0094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	05/05/2009

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