| Roderick Santa Maria, Md, Pa | |
|
801 Meadows Road, Suite 121 Boca Raton FL 33486 | |
| (561) 338-0737 | |
| (561) 347-0512 |
| Full Name | Roderick Santa Maria, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 Meadows Road, Suite 121, Boca Raton, Florida |
| Authorized Official Name and Position | Roberta Miller (OFFICE MANAGER) |
| Authorized Official Contact | 5613380737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick Santa Maria, Md, Pa 801 Meadows Road, Suite 121 Boca Raton FL 33486 Ph: (561) 338-0737 | Roderick Santa Maria, Md, Pa 801 Meadows Road, Suite 121 Boca Raton FL 33486 Ph: (561) 338-0737 |
| NPI Number | 1255652012 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Medicare PECOS PAC ID | 6800065491 |
|---|---|
| Medicare Enrollment ID | O20110817000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255652012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roderick Santa Maria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326097346 PECOS PAC ID: 3476448366 Enrollment ID: I20040219000169 |
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