MEDICARE: ROMERO MEDICAL, INC.

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	332B00000X	Durable Medical Equipment & Medical Supplies	1312936	FL

General Provider Information

NPI Number	:	1386686079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMERO MEDICAL, INC.

Provider Business Mailing Address
First Line	:	3450 W 84TH ST
Second Line	:	202L
City	:	HIALEAH
State	:	FL
Zip	:	33018-4924
Country	:	US
Telephone Number	:	305-826-7104
Fax Number	:	305-826-7105

Provider Business Practice Location Address
First Line	:	3450 W 84TH ST
Second Line	:	202L
City	:	HIALEAH
State	:	FL
Zip	:	33018-4924
Country	:	US
Telephone Number	:	305-826-7104
Fax Number	:	305-826-7105

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YANISA ROMERO
Credential	:
Telephone Number	:	305-826-7104

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	08/22/2020

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