Organization
ANGEL F. SAN ROMAN M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL F SAN ROMAN M.D. (PRESIDENT)
(305) 663-2845
Entity
Organization
Contact information
Practice address
5965 PONCE DE LEON BLVD, SUITE 2, CORAL GABLES, FL 33146-2436
(305) 663-2845
(305) 663-9361
Mailing address
5965 PONCE DE LEON BLVD, SUITE 2, CORAL GABLES, FL 33146-2436
(305) 663-2845
(305) 663-9361
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0055882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063497200
—
FL
Enumeration date
01/29/2015
Last updated
08/23/2016
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