Provider Demographics
NPI:1194479071
Name:ROMERO, TAYMI
Entity type:Individual
Prefix:
First Name:TAYMI
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 NW 12TH ST STE 840
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1951
Mailing Address - Country:US
Mailing Address - Phone:305-982-8191
Mailing Address - Fax:786-360-2541
Practice Address - Street 1:7270 NW 12TH ST STE 840
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1951
Practice Address - Country:US
Practice Address - Phone:305-982-8191
Practice Address - Fax:786-360-2541
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13249261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL87-3883262OtherTHERAPY & REHABILITATION