Individual
MR. ANGEL F SAN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5965 PONCE DE LEON BLVD, SUITE 2, CORAL GABLES, FL 33146-2423
(305) 663-2845
(305) 663-9361
Mailing address
5965 PONCE DE LEON BLVD, SUITE 2, CORAL GABLES, FL 33146-2423
(305) 663-2845
(305) 663-9361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063497200
—
FL
Enumeration date
12/28/2005
Last updated
08/23/2016
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