Provider Demographics
NPI:1861536294
Name:RAMON V. SANTA MARIA, M.D., P.A.
Entity type:Organization
Organization Name:RAMON V. SANTA MARIA, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:VIANZON
Authorized Official - Last Name:SANTA MARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-633-2504
Mailing Address - Street 1:4051 UPPER CREEK DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6825
Mailing Address - Country:US
Mailing Address - Phone:813-633-2504
Mailing Address - Fax:813-633-2546
Practice Address - Street 1:4051 UPPER CREEK DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6825
Practice Address - Country:US
Practice Address - Phone:813-633-2504
Practice Address - Fax:813-633-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57360208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E67476Medicare UPIN