Roman Criollo
M.D | Pediatrics | Male
Roman Criollo, M.D is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Roman Criollo is
1680 Dunn Ave Unit 35-37, Jacksonville, Florida - 32218-4782. He can be contacted on phone at
904-760-4904.
Roman Criollo is a sole proprietor of his business.
NPI number (Unique professional ID) for Roman Criollo is
1699834408 which was assigned by NPPES on 07 Dec, 2006 and it was last updated on 20 Mar, 2023.
Roman Criollo license number is
ME137455 for Pediatrics (208000000X) in Florida.
Roman Criollo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Roman Criollo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Roman Criollo |
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| Credential : | M.D |
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| Gender : | Male |
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Business Address:
Roman Criollo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1680 Dunn Ave Unit 35-37
Jacksonville, FL, 32218-4782
United States |
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| Phone Number : | 904-760-4904 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699834408 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Dec, 2006 |
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| Last Updated On : | 20 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roman Criollo are as mentioned. Primary taxonomy code for Roman Criollo, M.D is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 38184 | AZ |
| 208000000X | Pediatrics | Yes | ME137455 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Roman Criollo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 101870300 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5460 BLANDING BLVD,
JACKSONVILLE, FL, 32244-1957
United States | JACKSONVILLE, FL | 904-760-4904 |
120 KING ST,
JACKSONVILLE, FL, 32204-2410
United States | JACKSONVILLE, FL | 904-760-4904 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1680 Dunn Ave
Jacksonville, FL, 32218-4782
United States |
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| Phone Number : | 904-760-4904 |
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Business Location:
Patients can refer following map for directions to
Roman Criollo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.