Mr Angel F San Roman, MD - Medicare Pediatrics in Coral Gables, FL

Mr Angel F San Roman, MD is a medicare enrolled "Pediatrics" physician in Coral Gables, Florida. His current practice location is 5965 Ponce De Leon Blvd, Suite 2, Coral Gables, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 663-2845.

Mr Angel F San Roman is licensed to practice in Florida (license number ME55882) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104803584.

Contact Information

Mr Angel F San Roman, MD
5965 Ponce De Leon Blvd, Suite 2,
Coral Gables, FL 33146-2423
(305) 663-2845
(305) 663-9361



Physician's Profile

Full NameMr Angel F San Roman
GenderMale
SpecialityPediatrics
Location5965 Ponce De Leon Blvd, Coral Gables, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104803584
  • Provider Enumeration Date: 12/28/2005
  • Last Update Date: 08/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6103893003
  • Enrollment ID: I20160229000034

Medical Identifiers

Medical identifiers for Mr Angel F San Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104803584NPI-NPPES
063497200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME55882 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Angel F San Roman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Angel F San Roman, MD
5965 Ponce De Leon Blvd, Suite 2,
Coral Gables, FL 33146-2423

Ph: (305) 663-2845
Mr Angel F San Roman, MD
5965 Ponce De Leon Blvd, Suite 2,
Coral Gables, FL 33146-2423

Ph: (305) 663-2845

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Pediatrics Doctors in Coral Gables, FL

Dr. Carol Lebischak, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 215 Grand Ave, Coral Gables, FL 33133
Phone: 305-441-7179    Fax: 305-448-7134
Dr. Rebecca Jane Mcpherson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146
Phone: 305-661-1515    Fax: 305-663-5948
Phuket Tantivit, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146
Phone: 305-662-8668    Fax: 305-662-3723
Dr. Majd Dardas, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146
Phone: 305-661-1515    
Ernesto E Erdmann, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 358 San Lorenzo Ave., Suite 3230, Coral Gables, FL 33146
Phone: 305-444-6882    Fax: 305-441-9110
Alice Blavo, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146
Phone: 305-662-8668    Fax: 305-662-3723
Liat Corcia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4425 Ponce De Leon Blvd, Suite 115, Coral Gables, FL 33146
Phone: 305-667-3152    

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