Provider Demographics
NPI:1720803000
Name:INTERNAL MEDICINE & AESTHETICS
Entity type:Organization
Organization Name:INTERNAL MEDICINE & AESTHETICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MAHIRY
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:ROMERO SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-520-7097
Mailing Address - Street 1:1380 S NARCOOSSEE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-7251
Mailing Address - Country:US
Mailing Address - Phone:786-520-7097
Mailing Address - Fax:407-556-3049
Practice Address - Street 1:1382 S NARCOOSSEE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-7251
Practice Address - Country:US
Practice Address - Phone:786-520-7097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty