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NPI Code Detail

MEDICARE: CORA ROMERO

MEDICARE: CORA 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1952813628
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORA ROMERO
Provider Business Mailing Address
First Line : 730 SW 4TH ST STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1984
Country : US
Telephone Number : 239-910-0712
Fax Number : 317-774-5004
Provider Business Practice Location Address
First Line : 730 SW 4TH ST STE 6
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1984
Country : US
Telephone Number : 195-460-9407
Fax Number : 317-774-5004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2017
Last Update Date : 04/01/2022

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Directions to “ CORA ROMERO ” Practice Location

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