MEDICARE: DR. EZEQUIEL F. ROMERO 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	208000000X	Pediatrics Physician	ME74480	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME74480	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760447726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EZEQUIEL F. ROMERO M.D.

Provider Business Mailing Address
First Line	:	1840 W 49TH ST STE 604
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2887
Country	:	US
Telephone Number	:	305-827-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 WEST 49TH STREET
Second Line	:	SUITE 604
City	:	HIALEAH
State	:	FL
Zip	:	33012
Country	:	US
Telephone Number	:	305-827-2100
Fax Number	:

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	07/21/2022

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