Provider Demographics
NPI:1851637409
Name:ROMERO, MIRIAN JC (ARNP)
Entity type:Individual
Prefix:
First Name:MIRIAN
Middle Name:JC
Last Name:ROMERO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4308 ALTON ROAD
Mailing Address - Street 2:SUITE 790
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-673-9270
Mailing Address - Fax:305-538-0057
Practice Address - Street 1:4308 ALTON ROAD
Practice Address - Street 2:SUITE 790
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-673-9270
Practice Address - Fax:305-538-0057
Is Sole Proprietor?:No
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9297523363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology