Angel F. San Roman M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0055882 Issued in FL

Legal business name

ANGEL F. SAN ROMAN M.D., P.A.

Practice address

5965 Ponce de Leon Blvd
Suite 2
Coral Gables, FL 33146-2436

Phone

(305) 663-2845

Fax

(305) 663-9361

NPI assigned

Jan 29, 2015

Last updated

Aug 23, 2016By 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

Dr. Angel F San Roman, M.D.NPI 1104803584

Title

President

Phone

(305) 663-2845

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Angel F San Roman, MD

  • Pediatrics Physician
  • Coral Gables, FL
  • NPI 1104803584
  NPD (past) Authorized official

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1972993921",
    "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": "331462436",
            "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": "331462436",
            "telephone_number": "305-663-2845",
            "fax_number": "305-663-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL F. SAN ROMAN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SAN ROMAN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-663-2845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0055882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063497200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian M. Andrade, M.D.
• Andres Cowley MD PA
• Andrew Lagomasino PSYD PA (Coral Gables Therapy)
• Anett LLC (Anett Health)
• Angel a Betancourt MD PA
• Angel Health & Therapy Care Inc
• Diana Nicole Angel
• Angela Gomez MD PA
• Angelo Sadeghpour MD PHD, PLLC
• Angels Touch Pharmacy Dicount Corp

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.