Angel F San Roman in Coral Gables - Pediatrics

Angel F San Roman - NPI 1104803584

Angel F San Roman is a Pediatrics in Coral Gables, Florida. Angel F San Roman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Angel F San Roman is 1104803584. The last update date is 2016-08-23.

Angel F San Roman's current location address is 5965 Ponce De Leon Blvd, Coral Gables, Florida. You can contact this provider via phone number 3056632845 and fax number 3056639361. The mailing address for Angel F San Roman is 5965 Ponce De Leon Blvd, Coral Gables, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Angel F San Roman
Address 5965 Ponce De Leon Blvd, Coral Gables, Florida
Phone Number 3056632845
Fax Number 3056639361
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1104803584
Provider Enumeration Date 2005-12-28
Last Updated Date 2016-08-23

Provider Mailing Address Detail

Address 5965 Ponce De Leon Blvd
City Coral Gables
State Florida (FL)
Post Code 331462423
Phone Number 3056632845
Fax Number 3056639361

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No ME55882
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
63497200 FL --

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FAQs about Angel F San Roman

What is the Angel F San Roman's unique identification number?

The Angel F San Roman has been assigned the NPI (National Provider Identifier) Number 1104803584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Angel F San Roman located?

The Angel F San Roman is located at 5965 Ponce De Leon Blvd, Coral Gables, FL 331462423.

What is the Angel F San Roman's specialty and taxonomy code?

The Angel F San Roman's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104803584 to Angel F San Roman?

The Centers for Medicare & Medicaid Services originally issued the 1104803584 to Angel F San Roman on 2005-12-28.

As of what date was the information pertaining to Angel F San Roman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Angel F San Roman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-08-23.

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