| NPI | 1104803584 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-12-28 |
| Last Updated | 2016-08-23 |
| Mailing Address | 5965 Ponce De Leon Blvd, Suite 2 Coral Gables, FL 33146-2423 United States Phone: (305) 663-2845 | Fax: (305) 663-9361 📍 View Map |
| Primary Practice Address | 5965 Ponce De Leon Blvd, Suite 2 Coral Gables, FL 33146-2423 United States Phone: (305) 663-2845 | Fax: (305) 663-9361 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 063497200 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | FL | ME55882 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104803584
Angel F San Roman MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104803584. The primary specialty listed is Pediatrics. The provider is located in Coral Gables, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104803584?
NPI 1104803584 belongs to Angel F San Roman MD, a Pediatrics in Coral Gables, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104803584 active?
The current status of NPI 1104803584 in the NPPES registry is Active. The record was last updated on 2016-08-23.
What specialty is NPI 1104803584?
NPI 1104803584 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104803584?
You can verify NPI 1104803584 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104803584?
The primary practice address on file for NPI 1104803584 is 5965 Ponce De Leon Blvd, Coral Gables, FL 33146-2423. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104803584 issued?
NPI 1104803584 was first issued (enumerated) on 2005-12-28. The NPPES record was last updated on 2016-08-23.
Practice Location Map
Angel F San Roman is located at 5965 Ponce De Leon Blvd, Coral Gables, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Angel F San Roman. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104803584. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | ME55882 | FL |