MEDICARE: JESUS DRIGGS ROMERO

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	106S00000X	Behavior Technician	RBT-25-473342	FL

General Provider Information

NPI Number	:	1629941604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESUS DRIGGS ROMERO

Provider Business Mailing Address
First Line	:	5579 NW 200TH LN
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-6627
Country	:	US
Telephone Number	:	954-371-7139
Fax Number	:

Provider Business Practice Location Address
First Line	:	5579 NW 200TH LN
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-6627
Country	:	US
Telephone Number	:	954-371-7139
Fax Number	:

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

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	10/24/2025

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Directions to “ JESUS DRIGGS ROMERO ” Practice Location

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