| Maricel Colon-santiago, MD | |
|
1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411-5185 | |
| (561) 798-9417 | |
| (561) 798-9419 |
| Full Name | Maricel Colon-santiago |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1015 N State Road 7 Ste D, Royal Palm Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740508381 | NPI | - | NPPES |
| 002172600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME107073 (Florida) | Primary |
| Entity Name | Phoenix Pediatrics Of Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619970498 PECOS PAC ID: 3173701554 Enrollment ID: O20110707000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Maricel Colon-santiago, MD 900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923 Ph: (561) 798-9417 | Maricel Colon-santiago, MD 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411-5185 Ph: (561) 798-9417 |
Odinakachi O Nwankwo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 | |
Cynthia Mary Olson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 | |
Juan C Collazos-rodriguez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1410 Royal Palm Beach Blvd, Royal Palm Beach, FL 33411 Phone: 561-777-5246 Fax: 561-484-5752 | |
James Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 | |
Renay Walker Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11903 Southern Blvd Ste 118, Royal Palm Beach, FL 33411 Phone: 561-429-5898 | |
Mrs. Gomathy Mohan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11903 Southern Blvd, Ste 118, Royal Palm Beach, FL 33411 Phone: 561-429-5898 Fax: 561-429-5897 | |
Alexandra E Ramos-garcia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1017 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 |