Provider Demographics
NPI:1720967284
Name:SALMERON DE ROMERO, JUANA SOCORRO
Entity type:Individual
Prefix:
First Name:JUANA
Middle Name:SOCORRO
Last Name:SALMERON DE 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 1:212 NE 3RD ST APT 4
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-3472
Mailing Address - Country:US
Mailing Address - Phone:954-662-2571
Mailing Address - Fax:
Practice Address - Street 1:212 NE 3RD ST APT 4
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3472
Practice Address - Country:US
Practice Address - Phone:954-662-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25-322246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant