Angel F San Roman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME55882 Issued in FL

Practice address

5965 Ponce de Leon Blvd
Suite 2
Coral Gables, FL 33146-2423

Phone

(305) 663-2845

Fax

(305) 663-9361

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Angel F. San Roman M.D., P.a.

  • Pediatrics Physician
  • Coral Gables, FL
  • NPI 1972993921
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1104803584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 PONCE DE LEON BLVD",
            "address_2": "SUITE 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-663-2845",
            "fax_number": "305-663-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 PONCE DE LEON BLVD",
            "address_2": "SUITE 2",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-663-2845",
            "fax_number": "305-663-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN ROMAN",
        "first_name": "ANGEL",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME55882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063497200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Mozes, D.D.S., P.a.
• Richard L Samuels, PTA
• Thomas P San Giovanni, MD
• Nicole Camila San Martin
• San Remo Breast and MRI Center PLLC
• Sanchez & Tamayo, P.a.
• Jose Jesus Sanchez Chavez, M.D.
• Shirly Leidy Sanchez Delgado
• Sanchez Diagnostic Center Inc
• Julio Reinaldo Sanchez Hernandez, ARNP,FNP-BC, NP-C

• Pediatrics Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.