San Roman, Angel F

San Roman, Angel F is an sole proprietor health care provider with primary practice located at 5965 Ponce De Leon Blvd Suite 2, Coral Gables FL 33146-2423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. San Roman, Angel F can be contacted via phone (305) 663-2845.

Contact Information

Primary practice address
5965 Ponce De Leon Blvd Suite 2 Coral Gables FL 33146-2423
Phone: (305) 663-2845
Fax: (305) 663-9361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME55882 Florida

Profile Details

NPI number 1104803584
LBN Legal business name San Roman, Angel F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Aug 23rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104803584 NPPES
Florida MEDICAID 063497200

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