Ramon V. Santa Maria, M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME57360 Issued in FL

Legal business name

RAMON V. SANTA MARIA, M.D., P.A.

Doing business as

South Bay Pediatrics

Practice address

4051 Upper Creek Dr
Suite 110
Sun City Center, FL 33573-6825

Phone

(813) 633-2504

Fax

(813) 633-2546

NPI assigned

Feb 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramon Vianzon Santa Maria, M.D.NPI 1417091844

Title

President

Phone

(813) 633-2504

Specialties & licenses 1

Addresses

Other names 1

• South Bay Pediatrics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramon Vianzon Santa Maria, M.D.

  • Pediatrics Physician
  • Sun City Center, FL
  • NPI 1417091844
  NPD (past) Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861536294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 110",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-633-2504",
            "fax_number": "813-633-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 110",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-633-2504",
            "fax_number": "813-633-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON V. SANTA MARIA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "VIANZON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-633-2504",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME57360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mariangely Rampolla Formby, M.S, CCC-SLP
• Zachary Rankowitz
• Kirtida Rathod
• Jordan Reed
• Corey Joseph Reeves, MD

• Pediatrics Physician in Sun City Center, FL
• Providers in Sun City Center, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.