Maricel Colon-Santiago, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME107073 Issued in FL

Practice address

1015 N State Road 7 Ste D
Royal Palm Beach, FL 33411-5185

Phone

(561) 798-9417

Fax

(561) 798-9419

NPI assigned

May 6, 2010

Sex

Female

Sole proprietor

No

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

Locations

Interoperability endpoints

• Direct secure messaging: mcolonsantiago19566@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: mcolon-santiago@pa.trimed.direct-ci.com

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.

• Phoenix Pediatrics of Broward LLC

  • Pediatrics Physician
  • Ft Lauderdale, FL
  • NPI 1619970498
  Medicare reassignment NPD
• Phoenix Pediatrics of Broward LLC

  • Pediatrics Physician
  • Coral Springs, FL
  • NPI 1508815655
  NPD
• Saltzman, Tanis, Pittell, Levin and Jacobson

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1740508381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "561-798-9417",
            "fax_number": "561-798-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N STATE ROAD 7 STE D",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334115185",
            "telephone_number": "561-798-9417",
            "fax_number": "561-798-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-SANTIAGO",
        "first_name": "MARICEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002172600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Paige Cohane, LCSW
• Kimberly Colin
• Juan C Collazos-Rodriguez, M.D.
• Joann Collegio, RRT
• Martyn Colman
• Comfortable Care Dental Health Professionals, P.a.
• Comfortable Care Dental Health Professionals, P.a.
• Comfortable Care Dental Health Professionals, PA
• Comprehensive Hand & Physical
• Comprehensive Hand & Physical

• Pediatrics Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.