MEDICARE: ADOLFO ROMERO MARTINEZ ARNP

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	363LP2300X	Primary Care Nurse Practitioner	ARNP9356435	FL
2	363LF0000X	Family Nurse Practitioner	ARNP6356435	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376857904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADOLFO ROMERO MARTINEZ ARNP

Provider Business Mailing Address
First Line	:	3910 SE 9TH CT
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-5213
Country	:	US
Telephone Number	:	786-356-2312
Fax Number	:	239-303-2756

Provider Business Practice Location Address
First Line	:	1303 HOMESTEAD RD N STE 102
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-6049
Country	:	US
Telephone Number	:	239-303-2700
Fax Number	:	239-303-2756

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

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	10/04/2016

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Directions to “ ADOLFO ROMERO MARTINEZ ARNP” Practice Location

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