Provider Demographics
NPI:1730253329
Name:CAMPS-ROMERO, EDUARDO B (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:B
Last Name:CAMPS-ROMERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EDUARDO
Other - Middle Name:BENJAMIN
Other - Last Name:CAMPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11200 SW 8TH ST
Mailing Address - Street 2:AHC2 #694
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33199-2516
Mailing Address - Country:US
Mailing Address - Phone:305-348-0669
Mailing Address - Fax:
Practice Address - Street 1:800 SW 108TH AVE
Practice Address - Street 2:ACC 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2555
Practice Address - Country:US
Practice Address - Phone:305-348-3267
Practice Address - Fax:305-348-4261
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1163202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A970500Medicare ID - Type Unspecified